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TW202140485A - Compounds and uses thereof - Google Patents

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TW202140485A
TW202140485A TW110103460A TW110103460A TW202140485A TW 202140485 A TW202140485 A TW 202140485A TW 110103460 A TW110103460 A TW 110103460A TW 110103460 A TW110103460 A TW 110103460A TW 202140485 A TW202140485 A TW 202140485A
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薩賓 K 魯佩爾
朝霞 楊
傑生 T 洛韋
喬翰尼斯 H 福格特
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美商福宏治療公司
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Abstract

The present disclosure features compounds useful for the treatment of BAF complex-related disorders.

Description

化合物及其用途Compound and its use

疾病可能會受到BAF複合物之影響。BRD9係BAF複合物之組成部分。本發明係關於用於治療BAF複合物相關疾病,諸如癌症及感染之有用組合物和方法。The disease may be affected by the BAF complex. BRD9 is a component of BAF complex. The present invention relates to useful compositions and methods for treating BAF complex-related diseases, such as cancer and infections.

含溴結構域之蛋白質9 (BRD9)係由5號染色體上之BRD9基因編碼的蛋白質。BRD9係BAF (BRG1或BRM相關因子)複合物(一種SWI/SNF ATP酶染色質重塑複合物)之組成部分,且屬於含溴結構域蛋白質之IV家族。BRD9存在於若干SWI/SNF ATP酶染色質重塑複合物中,且在多種癌細胞株中上調。因此,降低BRD9之水準及/或活性的藥劑可提供用於治療諸如癌症及感染之疾病及病症的新方法。本發明者已發現使細胞中之BRD9耗盡引起彼等細胞中SS18-SSX融合蛋白之耗盡。在超過95%滑膜肉瘤腫瘤中偵測到SS18-SSX融合蛋白,且通常係滑膜肉瘤中唯一的細胞遺傳學異常。此外,有證據表明,BAF複合物與細胞抗病毒活性有關。因此,降解BRD9之藥劑(例如化合物)可用於治療與BAF、BRD9及/或SS18-SSX有關之疾病(例如癌症或感染)。Bromodomain-containing protein 9 (BRD9) is a protein encoded by the BRD9 gene on chromosome 5. BRD9 is a component of BAF (BRG1 or BRM-related factor) complex (a SWI/SNF ATPase chromatin remodeling complex), and belongs to the IV family of bromodomain-containing proteins. BRD9 is present in several SWI/SNF ATPase chromatin remodeling complexes and is up-regulated in a variety of cancer cell lines. Therefore, agents that lower the level and/or activity of BRD9 can provide new methods for treating diseases and disorders such as cancer and infections. The inventors have found that depletion of BRD9 in cells causes depletion of SS18-SSX fusion protein in their cells. The SS18-SSX fusion protein is detected in more than 95% of synovial sarcoma tumors, and is usually the only cytogenetic abnormality in synovial sarcoma. In addition, there is evidence that BAF complexes are related to cellular antiviral activity. Therefore, agents (such as compounds) that degrade BRD9 can be used to treat diseases (such as cancer or infection) associated with BAF, BRD9 and/or SS18-SSX.

本揭示案特徵在於可用於治療BAF相關病症(例如癌症或感染)之化合物及方法。The present disclosure features compounds and methods that can be used to treat BAF-related disorders, such as cancer or infection.

在一態樣中,本發明特徵在於一種具有表1中化合物D1、S-D1、R-D1及D2中之任一者之結構的化合物,或其醫藥學上可接受之鹽。In one aspect, the present invention features a compound having the structure of any one of compounds D1, S-D1, R-D1, and D2 in Table 1, or a pharmaceutically acceptable salt thereof.

在一些實施例中,化合物具有化合物D1之結構,或其醫藥學上可接受之鹽。在一些實施例中,化合物具有化合物S-D1之結構,或為其醫藥學上可接受之鹽。在一些實施例中,化合物具有化合物R-D1之結構,或為其醫藥學上可接受之鹽。在其他實施例中,化合物具有化合物D2之結構,或其醫藥學上可接受之鹽。In some embodiments, the compound has the structure of Compound D1, or a pharmaceutically acceptable salt thereof. In some embodiments, the compound has the structure of compound S-D1, or a pharmaceutically acceptable salt thereof. In some embodiments, the compound has the structure of compound R-D1, or is a pharmaceutically acceptable salt thereof. In other embodiments, the compound has the structure of compound D2, or a pharmaceutically acceptable salt thereof.

在一態樣中,本發明特徵在於具有表1中化合物D1之結構的化合物,或其醫藥學上可接受之鹽。In one aspect, the present invention is characterized by a compound having the structure of compound D1 in Table 1, or a pharmaceutically acceptable salt thereof.

在一態樣中,本發明特徵在於具有表1中化合物S-D1之結構的化合物,或其醫藥學上可接受之鹽。In one aspect, the present invention features a compound having the structure of compound S-D1 in Table 1, or a pharmaceutically acceptable salt thereof.

在一態樣中,本發明特徵在於具有表1中化合物R-D1之結構的化合物,或其醫藥學上可接受之鹽。In one aspect, the present invention is characterized by a compound having the structure of compound R-D1 in Table 1, or a pharmaceutically acceptable salt thereof.

在另一態樣中,本發明特徵在於具有表1中化合物D2之結構的化合物,或其醫藥學上可接受之鹽。 表1. 本發明之化合物 化合物編號 結構 D1

Figure 02_image001
S-D1
Figure 02_image006
R-D1
Figure 02_image008
D2
Figure 02_image003
In another aspect, the present invention features a compound having the structure of compound D2 in Table 1, or a pharmaceutically acceptable salt thereof. Table 1. Compounds of the invention Compound number structure D1
Figure 02_image001
S-D1
Figure 02_image006
R-D1
Figure 02_image008
D2
Figure 02_image003

在另一態樣中,本揭示案特徵在於一種醫藥組合物,其包括上述化合物中之任一者或其醫藥學上可接受之鹽及醫藥學上可接受之賦形劑。In another aspect, the present disclosure features a pharmaceutical composition comprising any one of the above-mentioned compounds or a pharmaceutically acceptable salt thereof and a pharmaceutically acceptable excipient.

在一態樣中,本揭示案特徵在於一種抑制細胞中之BRD9之水準及/或活性的方法,該方法包括使該細胞與有效量之上述化合物中之任一者或其醫藥學上可接受之鹽或其醫藥組合物接觸。In one aspect, the present disclosure features a method of inhibiting the level and/or activity of BRD9 in a cell, the method comprising bringing the cell to an effective amount of any of the above-mentioned compounds or is pharmaceutically acceptable Contact with the salt or its pharmaceutical composition.

在另一態樣中,本揭示案特徵在於一種降低細胞中之BRD9之水準及/或活性的方法,該方法包括使該細胞與有效量之上述化合物中之任一者或其醫藥學上可接受之鹽或其醫藥組合物接觸。In another aspect, the present disclosure features a method for reducing the level and/or activity of BRD9 in a cell, the method comprising bringing the cell to an effective amount of any of the above-mentioned compounds or a pharmaceutically acceptable method. The accepted salt or its pharmaceutical composition is contacted.

在一些實施例中,細胞為癌細胞。In some embodiments, the cell is a cancer cell.

在一些實施例中,癌症為惡性橫紋肌樣瘤、CD8+ T細胞淋巴瘤、子宮內膜癌、卵巢癌、膀胱癌、胃癌、胰臟癌、食道癌、前列腺癌、腎細胞癌、黑色素瘤、結腸直腸癌、肉瘤(例如軟組織肉瘤、滑膜肉瘤、尤因氏肉瘤(Ewing's sarcoma)、骨肉瘤、橫紋肌肉瘤、成人纖維肉瘤、腺泡狀軟組織肉瘤、血管肉瘤、透明細胞肉瘤、促纖維組織增生性小圓細胞腫瘤、上皮樣肉瘤、纖維黏液樣肉瘤、胃腸道基質瘤、卡波西氏肉瘤(Kaposi sarcoma)、脂肪肉瘤、平滑肌肉瘤、惡性間葉瘤惡性外周神經鞘腫瘤、黏液纖維肉瘤、低級別橫紋肌肉瘤)、非小細胞肺癌(例如鱗狀或腺癌)、胃癌或乳癌。在一些實施例中,癌症為惡性橫紋肌樣瘤、CD8+ T細胞淋巴瘤、子宮內膜癌、卵巢癌、膀胱癌、胃癌、胰臟癌、食道癌、前列腺癌、腎細胞癌、黑色素瘤或結腸直腸癌。在一些實施例中,癌症為肉瘤(例如滑膜肉瘤或尤因氏肉瘤)、非小細胞肺癌(例如鱗狀或腺癌)、胃癌或乳癌。在一些實施例中,癌症為肉瘤(例如滑膜肉瘤或尤因氏肉瘤)。在一些實施例中,肉瘤為滑膜肉瘤。In some embodiments, the cancer is malignant rhabdoid tumor, CD8+ T cell lymphoma, endometrial cancer, ovarian cancer, bladder cancer, gastric cancer, pancreatic cancer, esophageal cancer, prostate cancer, renal cell carcinoma, melanoma, colon Rectal cancer, sarcoma (e.g. soft tissue sarcoma, synovial sarcoma, Ewing's sarcoma), osteosarcoma, rhabdomyosarcoma, adult fibrosarcoma, alveolar soft tissue sarcoma, angiosarcoma, clear cell sarcoma, fibroproliferative tissue Small round cell tumor, epithelioid sarcoma, fibromyxoid sarcoma, gastrointestinal stromal tumor, Kaposi sarcoma, liposarcoma, leiomyosarcoma, malignant peripheral nerve sheath tumor, myxofibrosarcoma, low Grade rhabdomyosarcoma), non-small cell lung cancer (such as squamous or adenocarcinoma), gastric or breast cancer. In some embodiments, the cancer is malignant rhabdoid tumor, CD8+ T cell lymphoma, endometrial cancer, ovarian cancer, bladder cancer, gastric cancer, pancreatic cancer, esophageal cancer, prostate cancer, renal cell carcinoma, melanoma, or colon Rectal cancer. In some embodiments, the cancer is a sarcoma (such as synovial sarcoma or Ewing's sarcoma), non-small cell lung cancer (such as squamous or adenocarcinoma), gastric cancer, or breast cancer. In some embodiments, the cancer is a sarcoma (e.g., synovial sarcoma or Ewing's sarcoma). In some embodiments, the sarcoma is a synovial sarcoma.

在一態樣中,本揭示案特徵在於一種治療有需要之個體之BAF複合物相關病症的方法,該方法包括向該個體投與有效量之上述化合物中之任一者或其醫藥學上可接受之鹽或其醫藥組合物。在一些實施例中,BAF複合物相關病症為癌症。在一些實施例中,BAF複合物相關病症為感染。In one aspect, the present disclosure features a method of treating a BAF complex-related disorder in an individual in need, the method comprising administering to the individual an effective amount of any of the above-mentioned compounds or a pharmaceutically acceptable Accepted salt or its pharmaceutical composition. In some embodiments, the BAF complex related disorder is cancer. In some embodiments, the BAF complex-related disorder is an infection.

在另一態樣中,本揭示案特徵在於一種治療有需要之個體之SS18-SSX融合蛋白相關病症的方法,該方法包括向該個體投與有效量之上述化合物中之任一者或其醫藥學上可接受之鹽或其醫藥組合物。在一些實施例中,SS18-SSX融合蛋白相關病症為癌症。在一些實施例中,SS18-SSX融合蛋白相關病症為感染。在前述方法中之任一者之一些實施例中,SS18-SSX融合蛋白為SS18-SSX1融合蛋白、SS18-SSX2融合蛋白或SS18-SSX4融合蛋白。In another aspect, the present disclosure features a method for treating an SS18-SSX fusion protein-related disorder in an individual in need, the method comprising administering to the individual an effective amount of any one of the above-mentioned compounds or a medicine thereof Academically acceptable salt or its pharmaceutical composition. In some embodiments, the SS18-SSX fusion protein-related disorder is cancer. In some embodiments, the SS18-SSX fusion protein-related disorder is infection. In some embodiments of any of the foregoing methods, the SS18-SSX fusion protein is SS18-SSX1 fusion protein, SS18-SSX2 fusion protein, or SS18-SSX4 fusion protein.

在另一態樣中,本揭示案特徵在於一種治療有需要之個體之BRD9相關病症的方法,該方法包括向該個體投與有效量之上述化合物中之任一者或其醫藥學上可接受之鹽或其醫藥組合物。在一些實施例中,BRD9相關病症為癌症。在一些實施例中,BRD9相關病症為感染。In another aspect, the present disclosure features a method of treating a BRD9-related disorder in an individual in need, the method comprising administering to the individual an effective amount of any of the above-mentioned compounds or a pharmaceutically acceptable The salt or its pharmaceutical composition. In some embodiments, the BRD9-related disorder is cancer. In some embodiments, the BRD9-related disorder is an infection.

在一些實施例中,癌症為鱗狀細胞癌、基底細胞癌、腺癌、肝細胞癌及腎細胞癌;膀胱、腸、乳房、子宮頸、結腸、食道、頭、腎臟、肝臟、肺、頸部、卵巢、胰腺、前列腺及胃之癌症;白血病;良性及惡性淋巴瘤,尤其伯基特氏淋巴瘤及非霍奇金氏淋巴瘤;良性及惡性黑色素瘤;骨髓增生性疾病;肉瘤,包括尤因氏肉瘤、血管內皮瘤、卡波西氏肉瘤、脂肪肉瘤、肌肉瘤、外周神經上皮瘤、滑膜肉瘤、神經膠質瘤、星細胞瘤、寡樹突神經膠細胞瘤、室管膜瘤、膠質母細胞瘤、神經母細胞瘤、神經節細胞瘤、神經節神經膠質瘤、髓母細胞瘤、松果體細胞腫瘤、腦膜瘤、腦膜肉瘤、纖維神經瘤及許旺細胞瘤;腸癌、乳癌、前列腺癌、子宮頸癌、子宮癌、肺癌、卵巢癌、睪丸癌、甲狀腺癌、星細胞瘤、食道癌、胰臟癌、胃癌、肝癌、結腸癌、黑色素瘤;癌肉瘤、霍奇金氏病、威爾姆斯氏瘤及畸胎癌。可使用根據本發明之所揭示化合物治療的另外的癌症包括例如急性顆粒球性白血病、急性淋巴球性白血病(ALL)、急性骨髓性白血病(AML)、腺癌、腺肉瘤、腎上腺癌、腎上腺皮質癌、肛門癌、退行性星細胞瘤、血管肉瘤、闌尾癌、星細胞瘤、基底細胞癌、B細胞淋巴瘤、膽管癌、膀胱癌、骨癌、骨髓癌、腸癌、腦癌、腦幹神經膠質瘤、乳癌、三(雌激素、黃體酮及HER-2)陰性乳癌、雙陰性乳癌(雌激素、黃體酮及HER-2中之兩者呈陰性)、單陰性(雌激素、黃體酮及HER-2中之一者呈陰性)、雌激素受體陽性HER2陰性乳癌、雌激素受體陰性乳癌、雌激素受體陽性乳癌、轉移性乳癌、管腔A型乳癌、管腔B型乳癌、Her2陰性乳癌、HER2陽性或陰性乳癌、黃體酮受體陰性乳癌、黃體酮受體陽性乳癌、復發性乳癌、類癌瘤腫瘤、子宮頸癌、膽管細胞癌、軟骨肉瘤、慢性淋巴球性白血病(CLL)、慢性骨髓性白血病(CML)、結腸癌、結腸直腸癌、顱咽管瘤、皮膚淋巴瘤、皮膚黑色素瘤、彌漫性星細胞瘤、導管原位癌(DCIS)、子宮內膜癌、室管膜瘤、上皮樣肉瘤、食道癌、尤因氏肉瘤、肝外膽管癌、眼癌、輸卵管癌、纖維肉瘤、膽囊癌、胃癌、胃腸癌、胃腸道類癌、胃腸道基質瘤(GIST)、生殖細胞腫瘤多形性膠質母細胞瘤(GBM)、神經膠質瘤、毛細胞白血病、頭頸癌血管內皮瘤、霍奇金淋巴瘤、下嚥癌、浸潤性導管癌(IDC)、浸潤性小葉癌(ILC)、發炎性乳癌(IBC)、腸癌、肝內膽管癌、侵襲性/浸潤性乳癌、胰島細胞癌、頜癌、卡波西氏肉瘤、腎癌、喉癌、平滑肌肉瘤、軟腦膜轉移、白血病、唇癌、脂肪肉瘤、肝癌、小葉原位癌、低級別星細胞瘤、肺癌、淋巴結癌、淋巴瘤、男性乳癌、髓樣癌、髓母細胞瘤、黑色素瘤、腦膜瘤、默克爾細胞癌(Merkel cell carcinoma)、間葉性軟骨肉瘤、間葉瘤、間皮瘤轉移性乳癌、轉移性黑色素瘤轉移性鱗狀頸癌、混合性膠質細胞瘤、單胚層畸胎瘤、口腔癌膠樣癌、黏膜黑色素瘤、多發性骨髓瘤、蕈樣真菌病、骨髓發育不良症候群、鼻腔癌、鼻咽癌、頸癌、神經母細胞瘤、神經內分泌腫瘤(NET)、非霍奇金氏淋巴瘤、非小細胞肺癌(NSCLC)、燕麥細胞癌、眼癌、眼睛黑色素瘤、寡樹突神經膠細胞瘤、口癌、口腔癌、口咽癌、骨原性肉瘤、骨肉瘤、卵巢癌、卵巢上皮癌卵巢生殖細胞腫瘤、卵巢原發性腹膜癌、卵巢性索基質腫瘤、佩吉特氏病(Paget's disease)、胰臟癌、乳頭狀癌、鼻竇癌、甲狀旁腺癌、骨盆癌、陰莖癌、外周神經癌、腹膜癌、咽癌、嗜鉻細胞瘤、毛細胞型星細胞瘤、松果體區腫瘤、松果體母細胞瘤、腦下垂體癌、原發性中樞神經系統(CNS)淋巴瘤、前列腺癌、直腸癌、腎細胞癌、腎盂癌、橫紋肌肉瘤、唾液腺癌、軟組織肉瘤、骨骼肉瘤、肉瘤、鼻竇癌、皮膚癌、小細胞肺癌(SCLC)、小腸癌、脊椎癌、脊柱癌、脊髓癌、鱗狀細胞癌、胃癌、滑膜肉瘤、T細胞淋巴瘤、睪丸癌、咽喉癌、胸腺瘤/胸腺癌、甲狀腺癌、舌癌、扁桃體癌、移行細胞癌、輸卵管癌、管狀癌、未診斷癌、輸尿管癌、尿道癌、子宮腺癌、子宮癌、子宮肉瘤、陰道癌、外陰癌、T細胞譜系急性淋巴母細胞性白血病(T-ALL)、T細胞譜系淋巴母細胞性淋巴瘤(T-LL)、外周T細胞淋巴瘤、成人T細胞白血病、前B ALL、前B淋巴瘤、大B細胞淋巴瘤、伯基特氏淋巴瘤(Burkitts lymphoma)、B細胞ALL、費城染色體(Philadelphia chromosome)陽性ALL、費城染色體陽性CML、幼年型骨髓單核球性白血病(JMML)、急性前髓細胞白血病(AML亞型)、大顆粒淋巴球性白血病、成人T細胞慢性白血病、彌漫性大B細胞淋巴瘤、濾泡性淋巴瘤;黏膜相關之淋巴組織淋巴瘤(MALT)、小細胞淋巴球性淋巴瘤、縱隔大B細胞淋巴瘤、結節邊緣區B細胞淋巴瘤(NMZL);脾邊緣區淋巴瘤(SMZL);血管內大B細胞淋巴瘤;原發性滲出性淋巴瘤;或淋巴瘤樣肉芽腫病;B細胞前淋巴球白血病;未分類脾淋巴瘤/白血病、脾彌漫性紅髓小B細胞淋巴瘤;淋巴漿細胞性淋巴瘤;重鏈病(例如α重鏈病、γ重鏈病、μ重鏈病)、漿細胞骨髓瘤、骨孤立性漿細胞肉瘤;骨外漿細胞瘤;原發性皮膚濾泡中心淋巴瘤、富含T細胞/組織細胞之大B細胞淋巴瘤、與慢性發炎相關之DLBCL;老年人艾司坦-巴爾病毒(Epstein-Barr virus,EBV) + DLBCL;原發性縱隔(胸腺)大B細胞淋巴瘤、原發性皮膚DLBCL、腿型、ALK+大 B細胞淋巴瘤、漿母細胞性淋巴瘤;在HHV8相關之多中心卡斯爾門病(Castleman disease)中出現之大B細胞淋巴瘤;具有介於彌漫性大B細胞淋巴瘤中間之特徵的未分類B細胞淋巴瘤,或具有介於彌漫性大B細胞淋巴瘤與經典霍奇金氏淋巴瘤中間之特徵的未分類B細胞淋巴瘤。In some embodiments, the cancer is squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, hepatocellular carcinoma, and renal cell carcinoma; bladder, intestine, breast, cervix, colon, esophagus, head, kidney, liver, lung, neck Cancers of the breast, ovary, pancreas, prostate and stomach; leukemia; benign and malignant lymphomas, especially Burkitt’s lymphoma and non-Hodgkin’s lymphoma; benign and malignant melanomas; myeloproliferative diseases; sarcomas, including Ewing's sarcoma, hemangioendothelioma, Kaposi's sarcoma, liposarcoma, sarcoma, peripheral neuroepithelioma, synovial sarcoma, glioma, astrocytoma, oligodendritic glioma, ependymoma , Glioblastoma, Neuroblastoma, Gangliocytoma, Ganglioglioma, Medulloblastoma, Pineal Cell Tumor, Meningioma, Meningiosarcoma, Fibroneuronoma and Schwann Cell Tumor; Intestinal Cancer , Breast cancer, prostate cancer, cervical cancer, uterine cancer, lung cancer, ovarian cancer, testicular cancer, thyroid cancer, astrocytoma, esophageal cancer, pancreatic cancer, stomach cancer, liver cancer, colon cancer, melanoma; carcinosarcoma, Hodge King's disease, Wilms' tumor and teratoma cancer. Additional cancers that can be treated with the disclosed compounds according to the present invention include, for example, acute granulocytic leukemia, acute lymphocytic leukemia (ALL), acute myelogenous leukemia (AML), adenocarcinoma, adenosarcoma, adrenal carcinoma, adrenal cortex Cancer, anal cancer, degenerative astrocytoma, angiosarcoma, appendix cancer, astrocytoma, basal cell carcinoma, B-cell lymphoma, cholangiocarcinoma, bladder cancer, bone cancer, bone marrow cancer, bowel cancer, brain cancer, brain stem Glioma, breast cancer, triple (estrogen, progesterone and HER-2) negative breast cancer, double negative breast cancer (negative for estrogen, progesterone and HER-2), single negative (estrogen, progesterone) And one of HER-2 negative), estrogen receptor-positive HER2-negative breast cancer, estrogen receptor-negative breast cancer, estrogen receptor-positive breast cancer, metastatic breast cancer, luminal type A breast cancer, luminal type B breast cancer , Her2 negative breast cancer, HER2 positive or negative breast cancer, progesterone receptor negative breast cancer, progesterone receptor positive breast cancer, recurrent breast cancer, carcinoid tumor, cervical cancer, cholangiocarcinoma, chondrosarcoma, chronic lymphocytic leukemia (CLL), chronic myelogenous leukemia (CML), colon cancer, colorectal cancer, craniopharyngioma, skin lymphoma, skin melanoma, diffuse astrocytoma, ductal carcinoma in situ (DCIS), endometrial cancer , Ependymoma, epithelioid sarcoma, esophageal cancer, Ewing's sarcoma, extrahepatic cholangiocarcinoma, eye cancer, fallopian tube cancer, fibrosarcoma, gallbladder cancer, gastric cancer, gastrointestinal cancer, gastrointestinal carcinoid, gastrointestinal stromal tumor ( GIST), germ cell tumor, glioblastoma multiforme (GBM), glioma, hairy cell leukemia, head and neck cancer hemangioendothelioma, Hodgkin’s lymphoma, hypopharyngeal carcinoma, invasive ductal carcinoma (IDC), infiltrating Lobular Carcinoma (ILC), Inflammatory Breast Cancer (IBC), Bowel Cancer, Intrahepatic Cholangiocarcinoma, Invasive/Invasive Breast Cancer, Islet Cell Carcinoma, Jaw Cancer, Kaposi's Sarcoma, Kidney Cancer, Laryngeal Cancer, Smooth Muscle Sarcoma, leptomeningeal metastasis, leukemia, lip cancer, liposarcoma, liver cancer, lobular carcinoma in situ, low-grade astrocytoma, lung cancer, lymph node cancer, lymphoma, male breast cancer, medullary carcinoma, medulloblastoma, melanoma, Meningioma, Merkel cell carcinoma, mesenchymal chondrosarcoma, mesenchymal tumor, mesothelioma metastatic breast cancer, metastatic melanoma, metastatic squamous neck cancer, mixed glioma, monodermal malformation Fetal tumors, oral cancer colloid carcinoma, mucosal melanoma, multiple myeloma, mycosis fungoides, myelodysplastic syndrome, nasal cavity cancer, nasopharyngeal carcinoma, neck cancer, neuroblastoma, neuroendocrine tumors (NET), Non-Hodgkin's lymphoma, non-small cell lung cancer (NSCLC), oat cell carcinoma, eye cancer, eye melanoma, oligodendritic glioma, oral cancer, oral cancer, oropharyngeal cancer, osteogenic sarcoma, Osteosarcoma, ovarian cancer, ovarian epithelial cancer, ovarian germ cell tumor, ovarian primary peritoneal cancer, ovarian sex cord stromal tumor, Paget's disease, pancreatic cancer, breast cancer Head cancer, sinus cancer, parathyroid cancer, pelvic cancer, penile cancer, peripheral nerve cancer, peritoneal cancer, pharyngeal cancer, pheochromocytoma, pilocytic astrocytoma, pineal tumor, pineal gland Blastoma, pituitary gland cancer, primary central nervous system (CNS) lymphoma, prostate cancer, rectal cancer, renal cell carcinoma, renal pelvis cancer, rhabdomyosarcoma, salivary gland cancer, soft tissue sarcoma, skeletal sarcoma, sarcoma, sinus cancer , Skin cancer, small cell lung cancer (SCLC), small bowel cancer, spine cancer, spine cancer, spinal cord cancer, squamous cell carcinoma, gastric cancer, synovial sarcoma, T cell lymphoma, testicular cancer, throat cancer, thymoma/thymic cancer , Thyroid cancer, tongue cancer, tonsil cancer, transitional cell cancer, fallopian tube cancer, tubular cancer, undiagnosed cancer, ureteral cancer, urethral cancer, uterine adenocarcinoma, uterine cancer, uterine sarcoma, vaginal cancer, vulvar cancer, T cell lineage acute Lymphoblastic leukemia (T-ALL), T-cell lineage lymphoblastic lymphoma (T-LL), peripheral T-cell lymphoma, adult T-cell leukemia, pre-B ALL, pre-B lymphoma, large B-cell lymphoma Tumor, Burkitts lymphoma, B-cell ALL, Philadelphia chromosome positive ALL, Philadelphia chromosome positive CML, juvenile myeloid monocytic leukemia (JMML), acute promyelocytic leukemia (AML) Subtype), large granular lymphocytic leukemia, adult T-cell chronic leukemia, diffuse large B-cell lymphoma, follicular lymphoma; mucosal-associated lymphoid tissue lymphoma (MALT), small cell lymphocytic lymphoma, Mediastinal large B-cell lymphoma, nodular marginal zone B-cell lymphoma (NMZL); splenic marginal zone lymphoma (SMZL); intravascular large B-cell lymphoma; primary exudative lymphoma; or lymphomatoid granulomatosis ; B-cell prolymphocytic leukemia; unclassified splenic lymphoma/leukemia, splenic diffuse red marrow small B-cell lymphoma; lymphoplasmacytic lymphoma; heavy chain disease (such as alpha heavy chain disease, gamma heavy chain disease, μ Heavy chain disease), plasma cell myeloma, bone solitary plasma cell sarcoma; extraosseous plasma cell tumor; primary skin follicular center lymphoma, large B-cell lymphoma rich in T cells/histiocytosis, and chronic inflammation Related DLBCL; Elderly Epstein-Barr virus (EBV) + DLBCL; Primary mediastinal (thymus) large B cell lymphoma, primary skin DLBCL, leg type, ALK + large B cell lymphoma Tumor, plasmablastic lymphoma; large B-cell lymphoma that occurs in HHV8-related multicentric Castleman disease; unclassified B with characteristics that are between diffuse large B-cell lymphoma Cell lymphoma, or unclassified B-cell lymphoma with features between diffuse large B-cell lymphoma and classic Hodgkin’s lymphoma.

在一些實施例中,癌症為惡性橫紋肌樣瘤、CD8+ T細胞淋巴瘤、子宮內膜癌、卵巢癌、膀胱癌、胃癌、胰臟癌、食道癌、前列腺癌、腎細胞癌、黑色素瘤、結腸直腸癌、肉瘤(例如軟組織肉瘤、滑膜肉瘤、尤因氏肉瘤(Ewing's sarcoma)、骨肉瘤、橫紋肌肉瘤、成人纖維肉瘤、腺泡狀軟組織肉瘤、血管肉瘤、透明細胞肉瘤、促纖維組織增生性小圓細胞腫瘤、上皮樣肉瘤、纖維黏液樣肉瘤、胃腸道基質瘤、卡波西氏肉瘤(Kaposi sarcoma)、脂肪肉瘤、平滑肌肉瘤、惡性間葉瘤惡性外周神經鞘腫瘤、黏液纖維肉瘤、低級別橫紋肌肉瘤)、非小細胞肺癌(例如鱗狀或腺癌)、胃癌或乳癌。在一些實施例中,癌症為惡性橫紋肌樣瘤、CD8+ T細胞淋巴瘤、子宮內膜癌、卵巢癌、膀胱癌、胃癌、胰臟癌、食道癌、前列腺癌、腎細胞癌、黑色素瘤或結腸直腸癌。在一些實施例中,癌症為肉瘤(例如滑膜肉瘤或尤因氏肉瘤)、非小細胞肺癌(例如鱗狀或腺癌)、胃癌或乳癌。在一些實施例中,癌症為肉瘤(例如滑膜肉瘤或尤因氏肉瘤)。在一些實施例中,肉瘤為滑膜肉瘤。In some embodiments, the cancer is malignant rhabdoid tumor, CD8+ T cell lymphoma, endometrial cancer, ovarian cancer, bladder cancer, gastric cancer, pancreatic cancer, esophageal cancer, prostate cancer, renal cell carcinoma, melanoma, colon Rectal cancer, sarcoma (e.g. soft tissue sarcoma, synovial sarcoma, Ewing's sarcoma), osteosarcoma, rhabdomyosarcoma, adult fibrosarcoma, alveolar soft tissue sarcoma, angiosarcoma, clear cell sarcoma, fibroproliferative tissue Small round cell tumor, epithelioid sarcoma, fibromyxoid sarcoma, gastrointestinal stromal tumor, Kaposi sarcoma, liposarcoma, leiomyosarcoma, malignant peripheral nerve sheath tumor, myxofibrosarcoma, low Grade rhabdomyosarcoma), non-small cell lung cancer (such as squamous or adenocarcinoma), gastric or breast cancer. In some embodiments, the cancer is malignant rhabdoid tumor, CD8+ T cell lymphoma, endometrial cancer, ovarian cancer, bladder cancer, gastric cancer, pancreatic cancer, esophageal cancer, prostate cancer, renal cell carcinoma, melanoma, or colon Rectal cancer. In some embodiments, the cancer is a sarcoma (such as synovial sarcoma or Ewing's sarcoma), non-small cell lung cancer (such as squamous or adenocarcinoma), gastric cancer, or breast cancer. In some embodiments, the cancer is a sarcoma (e.g., synovial sarcoma or Ewing's sarcoma). In some embodiments, the sarcoma is a synovial sarcoma.

在一些實施例中,感染為病毒感染(例如以下病毒感染:反轉錄病毒科(Retroviridae),諸如慢病毒(例如人類免疫缺乏病毒(HIV)及δ反轉錄病毒(例如人類T細胞白血病病毒(HTLV-I)、人類T細胞白血病病毒II (HTLV-II));肝去氧核糖核酸病毒科(Hepadnaviridae)(例如B型肝炎病毒(HBV));黃病毒科(Flaviviridae)(例如C型肝炎病毒(HCV));腺病毒科(Adenoviridae)(例如人類腺病毒);疱疹病毒科(Herpesviridae) (例如人類巨細胞病毒(HCMV)、艾司坦-巴爾病毒、單純疱疹病毒1 (HSV-1)、單純疱疹病毒2 (HSV-2)、人類疱疹病毒6 (HHV-6)、疱疹病毒K*、CMV、水痘-帶狀疱疹病毒);乳頭瘤病毒科(Papillomaviridae) (例如人類乳頭瘤病毒(HPV、HPV E1));細小病毒科(Parvoviridae) (例如細小病毒B19);多瘤病毒科(Polyomaviridae) (例如JC病毒及BK病毒);副黏液病毒科(Paramyxoviridae) (例如麻疹病毒);或披膜病毒科(Togaviridae) (例如風疹病毒))。在一些實施例中,病症為科芬西裡斯病(Coffin Siris)、神經纖維瘤(例如NF-1、NF-2或許旺鞘瘤(Schwannomatosis))或多發性腦膜瘤。在一態樣中,本揭示案特徵在於一種治療有需要之個體之癌症的方法,該方法包括向該個體投與有效量之上述化合物中之任一者或其醫藥學上可接受之鹽或上述醫藥組合物中之任一者。In some embodiments, the infection is a viral infection (e.g., the following viral infections: Retroviridae, such as lentiviruses (e.g., human immunodeficiency virus (HIV)) and delta retroviruses (e.g., human T cell leukemia virus (HTLV) -I), human T-cell leukemia virus II (HTLV-II)); Hepadnaviridae (such as hepatitis B virus (HBV)); Flaviviridae (such as hepatitis C virus) (HCV)); Adenoviridae (e.g., human adenovirus); Herpesviridae (e.g., human cytomegalovirus (HCMV), Estein-Barr virus, herpes simplex virus 1 (HSV-1) , Herpes simplex virus 2 (HSV-2), human herpes virus 6 (HHV-6), herpes virus K*, CMV, varicella-zoster virus); Papillomaviridae (such as human papillomavirus ( HPV, HPV E1)); Parvoviridae (e.g. Parvovirus B19); Polyomaviridae (e.g. JC virus and BK virus); Paramyxoviridae (e.g. measles virus); or Togaviridae (such as rubella virus). In some embodiments, the disease is Coffin Siris, neurofibromas (such as NF-1, NF-2, or Schwannomatosis). )) or multiple meningioma. In one aspect, the present disclosure features a method of treating cancer in an individual in need, the method comprising administering to the individual an effective amount of any of the above-mentioned compounds or A pharmaceutically acceptable salt or any of the above-mentioned pharmaceutical compositions.

在一些實施例中,癌症為鱗狀細胞癌、基底細胞癌、腺癌、肝細胞癌及腎細胞癌;膀胱、腸、乳房、子宮頸、結腸、食道、頭、腎臟、肝臟、肺、頸部、卵巢、胰腺、前列腺及胃之癌症;白血病;良性及惡性淋巴瘤,尤其伯基特氏淋巴瘤及非霍奇金氏淋巴瘤;良性及惡性黑色素瘤;骨髓增生性疾病;肉瘤,包括尤因氏肉瘤、血管內皮瘤、卡波西氏肉瘤、脂肪肉瘤、肌肉瘤、外周神經上皮瘤、滑膜肉瘤、神經膠質瘤、星細胞瘤、寡樹突神經膠細胞瘤、室管膜瘤、膠質母細胞瘤、神經母細胞瘤、神經節細胞瘤、神經節神經膠質瘤、髓母細胞瘤、松果體細胞腫瘤、腦膜瘤、腦膜肉瘤、纖維神經瘤及許旺細胞瘤;腸癌、乳癌、前列腺癌、子宮頸癌、子宮癌、肺癌、卵巢癌、睪丸癌、甲狀腺癌、星細胞瘤、食道癌、胰臟癌、胃癌、肝癌、結腸癌、黑色素瘤;癌肉瘤、霍奇金氏病、威爾姆斯氏瘤及畸胎癌。可使用根據本發明之所揭示化合物治療的另外的癌症包括例如急性顆粒球性白血病、急性淋巴球性白血病(ALL)、急性骨髓性白血病(AML)、腺癌、腺肉瘤、腎上腺癌、腎上腺皮質癌、肛門癌、退行性星細胞瘤、血管肉瘤、闌尾癌、星細胞瘤、基底細胞癌、B細胞淋巴瘤、膽管癌、膀胱癌、骨癌、骨髓癌、腸癌、腦癌、腦幹神經膠質瘤、乳癌、三(雌激素、黃體酮及HER-2)陰性乳癌、雙陰性乳癌(雌激素、黃體酮及HER-2中之兩者呈陰性)、單陰性(雌激素、黃體酮及HER-2中之一者呈陰性)、雌激素受體陽性HER2陰性乳癌、雌激素受體陰性乳癌、雌激素受體陽性乳癌、轉移性乳癌、管腔A型乳癌、管腔B型乳癌、Her2陰性乳癌、HER2陽性或陰性乳癌、黃體酮受體陰性乳癌、黃體酮受體陽性乳癌、復發性乳癌、類癌瘤腫瘤、子宮頸癌、膽管細胞癌、軟骨肉瘤、慢性淋巴球性白血病(CLL)、慢性骨髓性白血病(CML)、結腸癌、結腸直腸癌、顱咽管瘤、皮膚淋巴瘤、皮膚黑色素瘤、彌漫性星細胞瘤、導管原位癌(DCIS)、子宮內膜癌、室管膜瘤、上皮樣肉瘤、食道癌、尤因氏肉瘤、肝外膽管癌、眼癌、輸卵管癌、纖維肉瘤、膽囊癌、胃癌、胃腸癌、胃腸道類癌、胃腸道基質瘤(GIST)、生殖細胞腫瘤多形性膠質母細胞瘤(GBM)、神經膠質瘤、毛細胞白血病、頭頸癌血管內皮瘤、霍奇金淋巴瘤、下嚥癌、浸潤性導管癌(IDC)、浸潤性小葉癌(ILC)、發炎性乳癌(IBC)、腸癌、肝內膽管癌、侵襲性/浸潤性乳癌、胰島細胞癌、頜癌、卡波西氏肉瘤、腎癌、喉癌、平滑肌肉瘤、軟腦膜轉移、白血病、唇癌、脂肪肉瘤、肝癌、小葉原位癌、低級別星細胞瘤、肺癌、淋巴結癌、淋巴瘤、男性乳癌、髓樣癌、髓母細胞瘤、黑色素瘤、腦膜瘤、默克爾細胞癌(Merkel cell carcinoma)、間葉性軟骨肉瘤、間葉瘤、間皮瘤轉移性乳癌、轉移性黑色素瘤轉移性鱗狀頸癌、混合性膠質細胞瘤、單胚層畸胎瘤、口腔癌膠樣癌、黏膜黑色素瘤、多發性骨髓瘤、蕈樣真菌病、骨髓發育不良症候群、鼻腔癌、鼻咽癌、頸癌、神經母細胞瘤、神經內分泌腫瘤(NET)、非霍奇金氏淋巴瘤、非小細胞肺癌(NSCLC)、燕麥細胞癌、眼癌、眼睛黑色素瘤、寡樹突神經膠細胞瘤、口癌、口腔癌、口咽癌、骨原性肉瘤、骨肉瘤、卵巢癌、卵巢上皮癌卵巢生殖細胞腫瘤、卵巢原發性腹膜癌、卵巢性索基質腫瘤、佩吉特氏病(Paget's disease)、胰臟癌、乳頭狀癌、鼻竇癌、甲狀旁腺癌、骨盆癌、陰莖癌、外周神經癌、腹膜癌、咽癌、嗜鉻細胞瘤、毛細胞型星細胞瘤、松果體區腫瘤、松果體母細胞瘤、腦下垂體癌、原發性中樞神經系統(CNS)淋巴瘤、前列腺癌、直腸癌、腎細胞癌、腎盂癌、橫紋肌肉瘤、唾液腺癌、軟組織肉瘤、骨骼肉瘤、肉瘤、鼻竇癌、皮膚癌、小細胞肺癌(SCLC)、小腸癌、脊椎癌、脊柱癌、脊髓癌、鱗狀細胞癌、胃癌、滑膜肉瘤、T細胞淋巴瘤、睪丸癌、咽喉癌、胸腺瘤/胸腺癌、甲狀腺癌、舌癌、扁桃體癌、移行細胞癌、輸卵管癌、管狀癌、未診斷癌、輸尿管癌、尿道癌、子宮腺癌、子宮癌、子宮肉瘤、陰道癌、外陰癌、T細胞譜系急性淋巴母細胞性白血病(T-ALL)、T細胞譜系淋巴母細胞性淋巴瘤(T-LL)、外周T細胞淋巴瘤、成人T細胞白血病、前B ALL、前B淋巴瘤、大B細胞淋巴瘤、伯基特氏淋巴瘤(Burkitts lymphoma)、B細胞ALL、費城染色體(Philadelphia chromosome)陽性ALL、費城染色體陽性CML、幼年型骨髓單核球性白血病(JMML)、急性前髓細胞白血病(AML亞型)、大顆粒淋巴球性白血病、成人T細胞慢性白血病、彌漫性大B細胞淋巴瘤、濾泡性淋巴瘤;黏膜相關之淋巴組織淋巴瘤(MALT)、小細胞淋巴球性淋巴瘤、縱隔大B細胞淋巴瘤、結節邊緣區B細胞淋巴瘤(NMZL);脾邊緣區淋巴瘤(SMZL);血管內大B細胞淋巴瘤;原發性滲出性淋巴瘤;或淋巴瘤樣肉芽腫病;B細胞前淋巴球白血病;未分類脾淋巴瘤/白血病、脾彌漫性紅髓小B細胞淋巴瘤;淋巴漿細胞性淋巴瘤;重鏈病(例如α重鏈病、γ重鏈病、μ重鏈病)、漿細胞骨髓瘤、骨孤立性漿細胞肉瘤;骨外漿細胞瘤;原發性皮膚濾泡中心淋巴瘤、富含T細胞/組織細胞之大B細胞淋巴瘤、與慢性發炎相關之DLBCL;老年人艾司坦-巴爾病毒(Epstein-Barr virus,EBV) + DLBCL;原發性縱隔(胸腺)大B細胞淋巴瘤、原發性皮膚DLBCL、腿型、ALK+大 B細胞淋巴瘤、漿母細胞性淋巴瘤;在HHV8相關之多中心卡斯爾門病(Castleman disease)中出現之大B細胞淋巴瘤;具有介於彌漫性大B細胞淋巴瘤中間之特徵的未分類B細胞淋巴瘤,或具有介於彌漫性大B細胞淋巴瘤與經典霍奇金氏淋巴瘤中間之特徵的未分類B細胞淋巴瘤。In some embodiments, the cancer is squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, hepatocellular carcinoma, and renal cell carcinoma; bladder, intestine, breast, cervix, colon, esophagus, head, kidney, liver, lung, neck Cancers of the breast, ovary, pancreas, prostate and stomach; leukemia; benign and malignant lymphomas, especially Burkitt’s lymphoma and non-Hodgkin’s lymphoma; benign and malignant melanomas; myeloproliferative diseases; sarcomas, including Ewing's sarcoma, hemangioendothelioma, Kaposi's sarcoma, liposarcoma, sarcoma, peripheral neuroepithelioma, synovial sarcoma, glioma, astrocytoma, oligodendritic glioma, ependymoma , Glioblastoma, Neuroblastoma, Gangliocytoma, Ganglioglioma, Medulloblastoma, Pineal Cell Tumor, Meningioma, Meningiosarcoma, Fibroneuronoma and Schwann Cell Tumor; Intestinal Cancer , Breast cancer, prostate cancer, cervical cancer, uterine cancer, lung cancer, ovarian cancer, testicular cancer, thyroid cancer, astrocytoma, esophageal cancer, pancreatic cancer, stomach cancer, liver cancer, colon cancer, melanoma; carcinosarcoma, Hodge King's disease, Wilms' tumor and teratoma cancer. Additional cancers that can be treated with the disclosed compounds according to the present invention include, for example, acute granulocytic leukemia, acute lymphocytic leukemia (ALL), acute myelogenous leukemia (AML), adenocarcinoma, adenosarcoma, adrenal carcinoma, adrenal cortex Cancer, anal cancer, degenerative astrocytoma, angiosarcoma, appendix cancer, astrocytoma, basal cell carcinoma, B-cell lymphoma, cholangiocarcinoma, bladder cancer, bone cancer, bone marrow cancer, bowel cancer, brain cancer, brain stem Glioma, breast cancer, triple (estrogen, progesterone and HER-2) negative breast cancer, double negative breast cancer (negative for estrogen, progesterone and HER-2), single negative (estrogen, progesterone) And one of HER-2 negative), estrogen receptor-positive HER2-negative breast cancer, estrogen receptor-negative breast cancer, estrogen receptor-positive breast cancer, metastatic breast cancer, luminal type A breast cancer, luminal type B breast cancer , Her2 negative breast cancer, HER2 positive or negative breast cancer, progesterone receptor negative breast cancer, progesterone receptor positive breast cancer, recurrent breast cancer, carcinoid tumor, cervical cancer, cholangiocarcinoma, chondrosarcoma, chronic lymphocytic leukemia (CLL), chronic myelogenous leukemia (CML), colon cancer, colorectal cancer, craniopharyngioma, skin lymphoma, skin melanoma, diffuse astrocytoma, ductal carcinoma in situ (DCIS), endometrial cancer , Ependymoma, epithelioid sarcoma, esophageal cancer, Ewing's sarcoma, extrahepatic cholangiocarcinoma, eye cancer, fallopian tube cancer, fibrosarcoma, gallbladder cancer, gastric cancer, gastrointestinal cancer, gastrointestinal carcinoid, gastrointestinal stromal tumor ( GIST), germ cell tumor, glioblastoma multiforme (GBM), glioma, hairy cell leukemia, head and neck cancer hemangioendothelioma, Hodgkin’s lymphoma, hypopharyngeal carcinoma, invasive ductal carcinoma (IDC), infiltrating Lobular Carcinoma (ILC), Inflammatory Breast Cancer (IBC), Bowel Cancer, Intrahepatic Cholangiocarcinoma, Invasive/Invasive Breast Cancer, Islet Cell Carcinoma, Jaw Cancer, Kaposi's Sarcoma, Kidney Cancer, Laryngeal Cancer, Smooth Muscle Sarcoma, leptomeningeal metastasis, leukemia, lip cancer, liposarcoma, liver cancer, lobular carcinoma in situ, low-grade astrocytoma, lung cancer, lymph node cancer, lymphoma, male breast cancer, medullary carcinoma, medulloblastoma, melanoma, Meningioma, Merkel cell carcinoma, mesenchymal chondrosarcoma, mesenchymal tumor, mesothelioma metastatic breast cancer, metastatic melanoma, metastatic squamous neck cancer, mixed glioma, monodermal malformation Fetal tumors, oral cancer colloid carcinoma, mucosal melanoma, multiple myeloma, mycosis fungoides, myelodysplastic syndrome, nasal cavity cancer, nasopharyngeal carcinoma, neck cancer, neuroblastoma, neuroendocrine tumors (NET), Non-Hodgkin's lymphoma, non-small cell lung cancer (NSCLC), oat cell carcinoma, eye cancer, eye melanoma, oligodendritic glioma, oral cancer, oral cancer, oropharyngeal cancer, osteogenic sarcoma, Osteosarcoma, ovarian cancer, ovarian epithelial cancer, ovarian germ cell tumor, ovarian primary peritoneal cancer, ovarian sex cord stromal tumor, Paget's disease, pancreatic cancer, breast cancer Head cancer, sinus cancer, parathyroid cancer, pelvic cancer, penile cancer, peripheral nerve cancer, peritoneal cancer, pharyngeal cancer, pheochromocytoma, pilocytic astrocytoma, pineal tumor, pineal gland Blastoma, pituitary gland cancer, primary central nervous system (CNS) lymphoma, prostate cancer, rectal cancer, renal cell carcinoma, renal pelvis cancer, rhabdomyosarcoma, salivary gland cancer, soft tissue sarcoma, skeletal sarcoma, sarcoma, sinus cancer , Skin cancer, small cell lung cancer (SCLC), small bowel cancer, spine cancer, spine cancer, spinal cord cancer, squamous cell carcinoma, gastric cancer, synovial sarcoma, T cell lymphoma, testicular cancer, throat cancer, thymoma/thymic cancer , Thyroid cancer, tongue cancer, tonsil cancer, transitional cell cancer, fallopian tube cancer, tubular cancer, undiagnosed cancer, ureteral cancer, urethral cancer, uterine adenocarcinoma, uterine cancer, uterine sarcoma, vaginal cancer, vulvar cancer, T cell lineage acute Lymphoblastic leukemia (T-ALL), T-cell lineage lymphoblastic lymphoma (T-LL), peripheral T-cell lymphoma, adult T-cell leukemia, pre-B ALL, pre-B lymphoma, large B-cell lymphoma Tumor, Burkitts lymphoma, B-cell ALL, Philadelphia chromosome positive ALL, Philadelphia chromosome positive CML, juvenile myeloid monocytic leukemia (JMML), acute promyelocytic leukemia (AML) Subtype), large granular lymphocytic leukemia, adult T-cell chronic leukemia, diffuse large B-cell lymphoma, follicular lymphoma; mucosal-associated lymphoid tissue lymphoma (MALT), small cell lymphocytic lymphoma, Mediastinal large B-cell lymphoma, nodular marginal zone B-cell lymphoma (NMZL); splenic marginal zone lymphoma (SMZL); intravascular large B-cell lymphoma; primary exudative lymphoma; or lymphomatoid granulomatosis ; B-cell prolymphocytic leukemia; unclassified splenic lymphoma/leukemia, splenic diffuse red marrow small B-cell lymphoma; lymphoplasmacytic lymphoma; heavy chain disease (such as alpha heavy chain disease, gamma heavy chain disease, μ Heavy chain disease), plasma cell myeloma, bone solitary plasma cell sarcoma; extraosseous plasma cell tumor; primary skin follicular center lymphoma, large B-cell lymphoma rich in T cells/histiocytosis, and chronic inflammation Related DLBCL; Elderly Epstein-Barr virus (EBV) + DLBCL; Primary mediastinal (thymus) large B cell lymphoma, primary skin DLBCL, leg type, ALK + large B cell lymphoma Tumor, plasmablastic lymphoma; large B-cell lymphoma that occurs in HHV8-related multicentric Castleman disease; unclassified B with characteristics that are between diffuse large B-cell lymphoma Cell lymphoma, or unclassified B-cell lymphoma with features between diffuse large B-cell lymphoma and classic Hodgkin’s lymphoma.

在一些實施例中,癌症為惡性橫紋肌樣瘤、CD8+ T細胞淋巴瘤、子宮內膜癌、卵巢癌、膀胱癌、胃癌、胰臟癌、食道癌、前列腺癌、腎細胞癌、黑色素瘤、結腸直腸癌、肉瘤(例如軟組織肉瘤、滑膜肉瘤、尤因氏肉瘤(Ewing's sarcoma)、骨肉瘤、橫紋肌肉瘤、成人纖維肉瘤、腺泡狀軟組織肉瘤、血管肉瘤、透明細胞肉瘤、促纖維組織增生性小圓細胞腫瘤、上皮樣肉瘤、纖維黏液樣肉瘤、胃腸道基質瘤、卡波西氏肉瘤(Kaposi sarcoma)、脂肪肉瘤、平滑肌肉瘤、惡性間葉瘤惡性外周神經鞘腫瘤、黏液纖維肉瘤、低級別橫紋肌肉瘤)、非小細胞肺癌(例如鱗狀或腺癌)、胃癌或乳癌。在一些實施例中,癌症為惡性橫紋肌樣瘤、CD8+ T細胞淋巴瘤、子宮內膜癌、卵巢癌、膀胱癌、胃癌、胰臟癌、食道癌、前列腺癌、腎細胞癌、黑色素瘤或結腸直腸癌。在一些實施例中,癌症為肉瘤(例如滑膜肉瘤或尤因氏肉瘤)、非小細胞肺癌(例如鱗狀或腺癌)、胃癌或乳癌。在一些實施例中,癌症為肉瘤(例如滑膜肉瘤或尤因氏肉瘤)。在一些實施例中,肉瘤為滑膜肉瘤。In some embodiments, the cancer is malignant rhabdoid tumor, CD8+ T cell lymphoma, endometrial cancer, ovarian cancer, bladder cancer, gastric cancer, pancreatic cancer, esophageal cancer, prostate cancer, renal cell carcinoma, melanoma, colon Rectal cancer, sarcoma (e.g. soft tissue sarcoma, synovial sarcoma, Ewing's sarcoma), osteosarcoma, rhabdomyosarcoma, adult fibrosarcoma, alveolar soft tissue sarcoma, angiosarcoma, clear cell sarcoma, fibroproliferative tissue Small round cell tumor, epithelioid sarcoma, fibromyxoid sarcoma, gastrointestinal stromal tumor, Kaposi sarcoma, liposarcoma, leiomyosarcoma, malignant peripheral nerve sheath tumor, myxofibrosarcoma, low Grade rhabdomyosarcoma), non-small cell lung cancer (such as squamous or adenocarcinoma), gastric or breast cancer. In some embodiments, the cancer is malignant rhabdoid tumor, CD8+ T cell lymphoma, endometrial cancer, ovarian cancer, bladder cancer, gastric cancer, pancreatic cancer, esophageal cancer, prostate cancer, renal cell carcinoma, melanoma, or colon Rectal cancer. In some embodiments, the cancer is a sarcoma (such as synovial sarcoma or Ewing's sarcoma), non-small cell lung cancer (such as squamous or adenocarcinoma), gastric cancer, or breast cancer. In some embodiments, the cancer is a sarcoma (e.g., synovial sarcoma or Ewing's sarcoma). In some embodiments, the sarcoma is a synovial sarcoma.

在另一態樣中,本揭示案特徵在於一種用於治療有需要之個體之病毒感染的方法。此方法包括向該個體投與有效量之上述化合物中之任一者,或其醫藥學上可接受之鹽,或上述醫藥組合物中之任一者。在一些實施例中,病毒感染為以下病毒感染:反轉錄病毒科,諸如慢病毒(例如人類免疫缺乏病毒(HIV)及δ反轉錄病毒(例如人類T細胞白血病病毒(HTLV-I)、人類T細胞白血病病毒II (HTLV-II));肝去氧核糖核酸病毒科(例如B型肝炎病毒(HBV))、黃病毒科(例如C型肝炎病毒(HCV))、腺病毒科(例如人類腺病毒)、疱疹病毒科(例如人類巨細胞病毒(HCMV)、艾司坦-巴爾病毒、單純疱疹病毒1 (HSV-1)、單純疱疹病毒2 (HSV-2)、人類疱疹病毒6 (HHV-6)、疱疹病毒K*、CMV、水痘-帶狀疱疹病毒)、乳頭瘤病毒科(例如人類乳頭瘤病毒(HPV、HPV E1))、細小病毒科(例如細小病毒B19)、多瘤病毒科(例如JC病毒及BK病毒)、副黏液病毒科(例如麻疹病毒)、披膜病毒科(例如風疹病毒)。In another aspect, the present disclosure features a method for treating viral infections in individuals in need. This method includes administering to the subject an effective amount of any of the aforementioned compounds, or a pharmaceutically acceptable salt thereof, or any of the aforementioned pharmaceutical compositions. In some embodiments, the viral infection is the following viral infections: Retroviral family, such as lentivirus (such as human immunodeficiency virus (HIV) and delta retrovirus (such as human T-cell leukemia virus (HTLV-I), human T Cellular Leukemia Virus II (HTLV-II)); liver deoxyribonucleic acid virus family (e.g. hepatitis B virus (HBV)), flaviviridae (e.g. hepatitis C virus (HCV)), adenoviral family (e.g. human adenovirus) Virus), herpesvirus family (e.g. human cytomegalovirus (HCMV), estane-Barr virus, herpes simplex virus 1 (HSV-1), herpes simplex virus 2 (HSV-2), human herpes virus 6 (HHV- 6), herpesvirus K*, CMV, varicella-zoster virus), papillomavirus family (e.g. human papillomavirus (HPV, HPV E1)), parvovirus family (e.g. parvovirus B19), polyomavirus family (Such as JC virus and BK virus), Paramyxoviridae (such as measles virus), Togaviridae (such as rubella virus).

在上述方法中之任一者之另一實施例中,該方法進一步包括向該個體投與另外的抗癌療法(例如化學治療劑或細胞毒性劑或放射線療法)。In another embodiment of any of the above methods, the method further comprises administering to the individual an additional anti-cancer therapy (e.g., a chemotherapeutic agent or a cytotoxic agent or radiation therapy).

在特定實施例中,另外的抗癌療法為:化學治療劑或細胞毒性劑(例如多柔比星(doxorubicin)或異環磷醯胺(ifosfamide))、誘導分化劑(例如視黃酸、維生素D、細胞介素)、激素藥劑、免疫學藥劑或抗血管生成劑。化學治療劑及細胞毒性劑包括(但不限於)烷基化劑、細胞毒性抗生素、抗代謝物、長春花生物鹼、依託泊苷(etoposide)及其他藥劑(例如太平洋紫杉醇(paclitaxel)、紫杉醇(taxol)、多烯紫杉醇(docetaxel)、泰索帝(taxotere)、順鉑(cis-platinum))。具有抗癌活性之另外化合物之清單可見於L. Brunton, B. Chabner及B. Knollman (編輯). Goodman and Gilman’s The Pharmacological Basis of Therapeutics, 第十二版, 2011, McGraw Hill Companies, New York, NY。In certain embodiments, additional anti-cancer therapies are: chemotherapeutic agents or cytotoxic agents (such as doxorubicin or ifosfamide), differentiation-inducing agents (such as retinoic acid, vitamin D. Cytokines), hormonal agents, immunological agents or anti-angiogenesis agents. Chemotherapeutic agents and cytotoxic agents include (but are not limited to) alkylating agents, cytotoxic antibiotics, antimetabolites, vinca alkaloids, etoposide and other agents (e.g. paclitaxel (paclitaxel), paclitaxel ( taxol), docetaxel, taxotere, cis-platinum). A list of other compounds with anticancer activity can be found in L. Brunton, B. Chabner and B. Knollman (Editor). Goodman and Gilman's The Pharmacological Basis of Therapeutics, Twelfth Edition, 2011, McGraw Hill Companies, New York, NY .

在特定實施例中,本發明之化合物及另外的抗癌療法及上述化合物或醫藥組合物中之任一者彼此在28天內(例如在21天、14天、10天、7天、5天、4天、3天、2天或1天內)或在24小時(例如12小時、6小時、3小時、2小時或1小時;或伴隨)內,各呈一同有效治療個體之量。化學術語 In a specific embodiment, the compound of the present invention and the other anticancer therapy and any of the above-mentioned compounds or pharmaceutical compositions each other within 28 days (e.g., 21 days, 14 days, 10 days, 7 days, 5 days). , 4 days, 3 days, 2 days, or 1 day) or within 24 hours (for example, 12 hours, 6 hours, 3 hours, 2 hours, or 1 hour; or concomitantly), each in an amount effective to treat the individual together. Chemical term

本文所述之化合物可具有一或多個不對稱碳原子且可呈光學純對映異構物、對映異構物之混合物(諸如外消旋體)、光學純非對映異構物、非對映異構物之混合物、非對映異構物外消旋體或非對映異構物外消旋體之混合物形式存在。光學活性形式可例如藉由解析外消旋體、藉由不對稱合成或不對稱層析法(利用對掌性吸附劑或溶析液之層析法)獲得。亦即,某些所揭示之化合物可呈多種立體異構形式存在。立體異構物為僅空間排列不同之化合物。對映異構物為鏡像不可重疊之立體異構物對,最通常係因為其含有用作對掌性中心之不對稱取代之碳原子。「對映異構物」意謂彼此呈鏡像且不可重疊之一對分子中的一者。非對映異構物為非鏡像相關之立體異構物,最通常係因為其含有兩個或更多個不對稱取代之碳原子且表示一或多個對掌性碳原子周圍之取代基的組態。化合物之對映異構物可例如藉由使用一或多種熟知之技術及方法,諸如對掌性層析法及基於其之分離方法自外消旋體分離對映異構物來製備。適用於自外消旋混合物分離本文所述之化合物之對映異構物的技術及/或方法可容易地藉由所屬領域之技術人員確定。「外消旋體」或「外消旋混合物」意謂含有兩種對映異構物之化合物,其中此類混合物不展現光學活性;亦即,其不使偏振光平面旋轉。「幾何異構物」意謂在與碳-碳雙鍵、環烷基環或橋接雙環系統相關之取代基原子之方向上不同的異構物。碳-碳雙鍵每一側之原子(除H以外)可呈E (取代基在碳-碳雙鍵之對側)或Z (取代基在同一側上取向)組態。「R」、「S」、「S*」、「R*」、「E」、「Z」、「順式」及「反式」指示相對于核心分子之組態。某些所揭示之化合物可呈阻轉異構物形式存在。阻轉異構物為由圍繞單鍵之旋轉受阻引起的立體異構物,其中旋轉之空間張力阻礙高至足以允許分離構形異構物。本文所述之化合物可藉由異構物特異性合成製成個別異構物,或自異構物混合物解析。習知解析技術包括使用光學活性酸形成異構物對之各異構物之游離鹼的鹽(接著分級結晶及游離鹼再生),使用光學活性胺形成異構物對之各異構物之酸形式的鹽(接著分級結晶及游離酸再生),使用光學純之酸、胺或醇形成異構物對之各異構物之酯或醯胺(接著層析分離及移除對掌性助劑),或使用多種熟知之層析法解析起始物質或最終產物之異構物混合物。當所揭示之化合物之立體化學藉由結構命名或描繪時,所命名或描繪之立體異構物係相對於其他立體異構物按重量計至少60%、70%、80%、90%、99%或99.9%。當單一對映異構物藉由結構命名或描繪時,所描繪或命名之對映異構物係按重量計至少60%、70%、80%、90%、99%或99.9%光學純。當單一非對映異構物藉由結構命名或描繪時,所描繪或命名之非對映異構物係按重量計至少60%、70%、80%、90%、99%或99.9%純。光學純度百分比為對映異構物之重量與對映異構物之重量加其光學異構物之重量的比率。按重量計之非對映異構物純度為一種非對映異構物與所有非對映異構物之重量的比率。當所揭示之化合物之立體化學藉由結構命名或描繪時,所命名或描繪之立體異構物係相對於其他立體異構物按莫耳分數計至少60%、70%、80%、90%、99%或99.9%純。當單一對映異構物藉由結構命名或描繪時,所描繪或命名之對映異構物係按莫耳分數計至少60%、70%、80%、90%、99%或99.9%純。當單一非對映異構物藉由結構命名或描繪時,所描繪或命名之非對映異構物係按莫耳分數計至少60%、70%、80%、90%、99%或99.9%純。按莫耳分數計之純度百分比為對映異構物之莫耳數與對映異構物之莫耳數加其光學異構物之莫耳數的比率。類似地,按莫耳分數計之純度百分比為非對映異構物之莫耳數與非對映異構物之莫耳數加其異構物之莫耳數的比率。當在不指示立體化學下藉由結構命名或描繪所揭示之化合物且化合物具有至少一個對掌性中心時,應瞭解,名稱或結構涵蓋不含對應光學異構物之化合物之對映異構物、化合物之外消旋混合物或一種對映異構物相對於對應光學異構物富集之混合物。當在不指示立體化學下藉由結構命名或描繪所揭示之化合物且化合物具有兩個或更多個對掌性中心時,應瞭解,名稱或結構涵蓋不含其他非對映異構物之非對映異構物、不含其他非對映異構物對之許多非對映異構物、非對映異構物之混合物、非對映異構物對之混合物、一種非對映異構物相對於其他非對映異構物富集之非對映異構物之混合物或一或多種非對映異構物相對於其他非對映異構物富集之非對映異構物之混合物。本發明涵蓋所有此等形式。The compounds described herein may have one or more asymmetric carbon atoms and may be optically pure enantiomers, mixtures of enantiomers (such as racemates), optically pure diastereomers, Exist in the form of mixtures of diastereomers, racemates of diastereomers, or mixtures of racemates of diastereomers. The optically active form can be obtained, for example, by resolving racemates, by asymmetric synthesis or asymmetric chromatography (chromatography using a palmar adsorbent or eluent). That is, some of the disclosed compounds can exist in multiple stereoisomeric forms. Stereoisomers are compounds that differ only in their spatial arrangement. Enantiomers are pairs of stereoisomers with non-superimposable mirror images, most commonly because they contain asymmetrically substituted carbon atoms used as the opposite center. "Enantiomer" means one of a pair of molecules that are mirror images of each other and are not superimposable. Diastereoisomers are stereoisomers that are not related to mirror images, most commonly because they contain two or more asymmetrically substituted carbon atoms and represent substituents around one or more opposing carbon atoms configuration. The enantiomers of a compound can be prepared, for example, by separating the enantiomers from the racemates by using one or more well-known techniques and methods, such as palm chromatography and separation methods based thereon. Techniques and/or methods suitable for separating the enantiomers of the compounds described herein from racemic mixtures can be easily determined by those skilled in the art. "Racemate" or "racemic mixture" means a compound containing two enantiomers, where such a mixture does not exhibit optical activity; that is, it does not rotate the plane of polarized light. "Geometric isomers" means isomers that differ in the direction of the substituent atoms associated with the carbon-carbon double bond, cycloalkyl ring, or bridged bicyclic ring system. The atoms on each side of the carbon-carbon double bond (except H) can be in E (substituents are on the opposite side of the carbon-carbon double bond) or Z (substituents are oriented on the same side) configuration. "R", "S", "S*", "R*", "E", "Z", "cis" and "trans" indicate the configuration relative to the core molecule. Some of the disclosed compounds may exist in the form of atropisomers. Atropisomers are stereoisomers caused by hindered rotation around a single bond, where the steric resistance to rotation is high enough to allow separation of conformational isomers. The compounds described herein can be synthesized into individual isomers by isomer-specific synthesis, or resolved from a mixture of isomers. Conventional analysis techniques include the use of optically active acids to form the free base salt of each isomer of the isomer pair (following fractional crystallization and free base regeneration), and the use of optically active amines to form the acid of each isomer of the isomer pair Form salt (following fractional crystallization and free acid regeneration), using optically pure acids, amines or alcohols to form esters or amides of each isomer of the isomer pair (following chromatographic separation and removal of the opposing additives ), or use a variety of well-known chromatographic methods to resolve the isomer mixture of the starting material or the final product. When the stereochemistry of the disclosed compound is named or depicted by the structure, the named or depicted stereoisomer is at least 60%, 70%, 80%, 90%, 99% by weight relative to other stereoisomers. % Or 99.9%. When a single enantiomer is named or depicted by structure, the depicted or named enantiomer is at least 60%, 70%, 80%, 90%, 99%, or 99.9% optically pure by weight. When a single diastereomer is named or depicted by the structure, the depicted or named diastereomer is at least 60%, 70%, 80%, 90%, 99%, or 99.9% pure by weight . The optical purity percentage is the ratio of the weight of the enantiomer to the weight of the enantiomer plus the weight of the optical isomer. The purity of diastereomers by weight is the ratio of the weight of one diastereomer to all diastereomers. When the stereochemistry of the disclosed compound is named or depicted by structure, the named or depicted stereoisomer is at least 60%, 70%, 80%, 90% relative to other stereoisomers in terms of mole fraction , 99% or 99.9% pure. When a single enantiomer is named or depicted by structure, the depicted or named enantiomer is at least 60%, 70%, 80%, 90%, 99%, or 99.9% pure in terms of mole fraction . When a single diastereomer is named or depicted by the structure, the depicted or named diastereomer is at least 60%, 70%, 80%, 90%, 99% or 99.9 in terms of mole fraction %pure. The purity percentage in terms of mole fraction is the ratio of the mole number of the enantiomer to the mole number of the enantiomer plus the mole number of its optical isomer. Similarly, the purity percentage in mole fraction is the ratio of the mole number of the diastereomer to the mole number of the diastereomer plus the mole number of its isomer. When the compound is named or depicted by the structure without indicating stereochemistry and the compound has at least one center of contrast, it should be understood that the name or structure encompasses the enantiomers of the compound that does not contain the corresponding optical isomer , A racemic mixture of a compound or a mixture of an enantiomer that is enriched relative to the corresponding optical isomer. When the compound is named or depicted by the structure without indicating stereochemistry and the compound has two or more opposite centers, it should be understood that the name or structure encompasses non-diastereomers without other diastereomers. Enantiomers, many diastereomers that do not contain other diastereomeric pairs, mixtures of diastereoisomers, mixtures of diastereomeric pairs, one diastereomer A mixture of diastereoisomers or one or more diastereomers relative to other diastereoisomers enriched in diastereomers mixture. The present invention covers all such forms.

本揭示案之化合物亦包括中間物或最終化合物中存在之原子之所有同位素。「同位素」係指具有相同原子序數但由於原子核中之中子數不同而引起質量數不同的原子。舉例而言,氫同位素包括氚及氘。The compounds of the present disclosure also include all isotopes of atoms present in the intermediate or final compound. "Isotopes" refer to atoms with the same atomic number but different mass numbers due to the different number of neutrons in the nucleus. For example, hydrogen isotopes include tritium and deuterium.

除非另有說明,本文中描繪之結構亦意謂包括不同之處僅在於存在一或多個同位素富集原子的化合物。可併入本發明化合物中之示例性同位素包括氫、磷、氮、氧、磷、硫、氟、氯及碘之同位素,諸如2 H、3 H、11 C、13 C、14 C、13 N、15 N、15 O、17 O、18 O、32 P、33 P、35 S、18 F、36 Cl、123 I及125 I。同位素標記化合物(例如經3 H及14 C標記之化合物)可用於化合物或受質組織分佈分析中。氚化(亦即3 H)及碳14 (亦即14 C)同位素因其容易製備及可偵測性而為有用的。此外,經諸如氘(亦即2 H)之較重同位素取代可提供由更大代謝穩定性產生的某些治療優點(例如活體內半衰期延長或劑量需求降低)。在一些實施例中,一或多個氫原子經2 H或3 H置換,或者一或多個碳原子經13 C或14 C富集碳置換。諸如15 O、13 N、11 C及18 F之正電子發射同位素可用於正電子發射斷層攝影(PET)研究中以檢查受質受體佔有率。同位素標記之化合物之製備為所屬領域之技術人員已知。舉例而言,同位素標記之化合物通常可藉由根據類似于針對本文所述之本發明化合物所揭示程式的程式,藉由用同位素標記試劑代替非同位素標記試劑來製備。Unless otherwise stated, the structures depicted herein are also meant to include compounds that differ only in the presence of one or more isotopically enriched atoms. Exemplary isotopes that can be incorporated into the compounds of the present invention include isotopes of hydrogen, phosphorus, nitrogen, oxygen, phosphorus, sulfur, fluorine, chlorine, and iodine, such as 2 H, 3 H, 11 C, 13 C, 14 C, 13 N , 15 N, 15 O, 17 O, 18 O, 32 P, 33 P, 35 S, 18 F, 36 Cl, 123 I and 125 I. Isotope-labeled compounds (for example, compounds labeled with 3 H and 14 C) can be used in the analysis of compound or substrate tissue distribution. Tritiated (ie 3 H) and carbon 14 (ie 14 C) isotopes are useful because of their ease of preparation and detectability. In addition, substitution with heavier isotopes such as deuterium (ie 2 H) can provide certain therapeutic advantages resulting from greater metabolic stability (e.g., increased in vivo half-life or reduced dosage requirements). In some embodiments, one or more hydrogen atoms are replaced by 2 H or 3 H, or one or more carbon atoms are replaced by 13 C or 14 C enriched carbon. Positron emission isotopes such as 15 O, 13 N, 11 C, and 18 F can be used in positron emission tomography (PET) studies to check the occupancy of host receptors. The preparation of isotopically labeled compounds is known to those skilled in the art. For example, isotopically-labeled compounds can generally be prepared by using isotopically-labeled reagents instead of non-isotopically-labeled reagents according to a formula similar to that disclosed for the compounds of the invention described herein.

如所屬領域中已知,許多化學實體可採用多種不同固體形式,諸如非晶形式或結晶形式(例如多晶型物、水合物、溶劑合物)。在一些實施例中,本發明之化合物可呈任何此類形式,包括呈任何固體形式利用。在一些實施例中,本文中描述或描繪之化合物可呈水合物或溶劑合物形式提供或利用。As is known in the art, many chemical entities can take many different solid forms, such as amorphous or crystalline forms (e.g., polymorphs, hydrates, solvates). In some embodiments, the compounds of the present invention can be used in any such form, including in any solid form. In some embodiments, the compounds described or depicted herein may be provided or utilized in the form of hydrates or solvates.

除非另外定義,否則本文中使用之所有技術及科學術語均具有與本發明所屬領域之一般技術人員通常所瞭解之含義相同的含義。本文中描述用於本揭示案中之方法及材料;亦可使用所屬領域中已知之其他合適方法及材料。材料、方法及實例僅係例示性的,且不意欲限制。本文中提到之所有公開案、專利申請案、專利、序列、資料庫登錄及其他參考文獻均以引用之方式整體併入本文中。萬一發生矛盾,將以包括定義在內之本說明書為準。定義 Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by those of ordinary skill in the art to which the present invention belongs. The methods and materials used in this disclosure are described herein; other suitable methods and materials known in the art can also be used. The materials, methods, and examples are illustrative only and not intended to be limiting. All publications, patent applications, patents, sequences, database entries and other references mentioned in this article are incorporated into this article by reference in their entirety. In case of conflict, this specification including definitions will prevail. definition

在本申請案,除非另外自上下文清楚,否則(i)術語「一」可理解為意謂「至少一種」;(ii)術語「或」可理解為意謂「及/或」;及(iii)術語「包括」可理解為涵蓋詳細列舉之組分或步驟,無論單獨還是連同一或多種另外的組分或步驟一起呈現。In this application, unless otherwise clear from the context, (i) the term "a" can be understood to mean "at least one"; (ii) the term "or" can be understood to mean "and/or"; and (iii) ) The term "comprising" can be understood to encompass the detailed enumerated components or steps, whether presented alone or with the same or multiple additional components or steps.

如本文所用,術語「約」及「大約」係指比所述值高或低10%內的值。舉例而言,術語「約5 nM」指示4.5至5.5 nM之範圍。As used herein, the terms "about" and "approximately" refer to values within 10% higher or lower than the stated value. For example, the term "about 5 nM" indicates a range of 4.5 to 5.5 nM.

如本文所用,術語「投與」係指向個體或系統投與組合物(例如如本文所述之化合物或包括如本文所述之化合物之製劑)。可藉由任何適當途徑投與動物個體(例如人類)。舉例而言,在一些實施例中,投與可經支氣管(包括藉由支氣管灌注)、經頰、經腸、皮間(interdermal)、動脈內、皮內、胃內、髓內、肌肉內、鼻內、腹膜內、鞘內、腫瘤內、靜脈內、心室內、經黏膜、經鼻、經口、經直腸、皮下、舌下、表面、經氣管(包括藉由氣管內灌注)、經皮、經陰道及經玻璃體。As used herein, the term "administration" refers to an individual or system administering a composition (e.g., a compound as described herein or a formulation that includes a compound as described herein). It can be administered to individual animals (such as humans) by any appropriate means. For example, in some embodiments, administration can be via bronchial (including via bronchial perfusion), buccal, intestinal, interdermal, intraarterial, intradermal, intragastric, intramedullary, intramuscular, Intranasal, intraperitoneal, intrathecal, intratumor, intravenous, intraventricular, transmucosal, transnasal, oral, transrectal, subcutaneous, sublingual, surface, transtracheal (including by intratracheal infusion), percutaneous , Transvaginal and transvitreous.

如本文所用,術語「成人軟組織肉瘤」係指在通常青少年及成人個體(例如至少10歲、11歲、12歲、13歲、14歲、15歲、16歲、17歲、18歲或19歲之個體)中體內軟組織中顯現之肉瘤。成人軟組織肉瘤之非限制性實例包括(但不限於)滑膜肉瘤、纖維肉瘤、惡性纖維組織細胞瘤、皮膚纖維肉瘤、脂肪肉瘤、平滑肌肉瘤、血管內皮瘤、卡波西氏肉瘤、淋巴管肉瘤、惡性外周神經鞘腫瘤/神經纖維肉瘤、骨外軟骨肉瘤、骨外骨肉瘤、骨外黏液樣軟骨肉瘤及骨外間葉性軟骨肉瘤。As used herein, the term "adult soft tissue sarcoma" refers to adolescent and adult individuals (e.g. at least 10 years old, 11 years old, 12 years old, 13 years old, 14 years old, 15 years old, 16 years old, 17 years old, 18 years old, or 19 years old). (Individual) sarcoma appearing in the soft tissues of the body. Non-limiting examples of adult soft tissue sarcoma include (but are not limited to) synovial sarcoma, fibrosarcoma, malignant fibrous histiocytoma, dermatofibrosarcoma, liposarcoma, leiomyosarcoma, hemangioendothelioma, Kaposi's sarcoma, lymphangiosarcoma , Malignant peripheral nerve sheath tumors/neurofibrosarcoma, extraosseous chondrosarcoma, extraosseous osteosarcoma, extraosseous mucoid chondrosarcoma and extraosseous mesenchymal chondrosarcoma.

如本文所用,術語「BAF複合物」係指人類細胞中之BRG1或HRBM相關因子複合物。As used herein, the term "BAF complex" refers to the BRG1 or HRBM-related factor complex in human cells.

如本文所用,術語「BAF複合物相關病症」係指由BAF複合物之水準及/或活性引起或受其影響的病症。As used herein, the term "BAF complex-related disorder" refers to a disorder caused by or affected by the level and/or activity of the BAF complex.

如本文所用,術語「GBAF複合物」及「GBAF」係指人類細胞中SWI/SNF ATP酶染色質重塑複合物。GBAF複合物次單元可包括(但不限於) ACTB、ACTL6A、ACTL6B、BICRA、BICRAL、BRD9、SMARCA2、SMARCA4、SMARCC1、SMARCD1、SMARCD2、SMARCD3及SS18。術語「癌症」係指由惡性贅生性細胞增殖所引起之疾患,諸如腫瘤、贅生物、癌瘤、肉瘤、白血病及淋巴瘤。As used herein, the terms "GBAF complex" and "GBAF" refer to the SWI/SNF ATPase chromatin remodeling complex in human cells. The GBAF complex subunits may include, but are not limited to, ACTB, ACTL6A, ACTL6B, BICRA, BICRAL, BRD9, SMARCA2, SMARCA4, SMARCC1, SMARCD1, SMARCD2, SMARCD3, and SS18. The term "cancer" refers to diseases caused by the proliferation of malignant neoplastic cells, such as tumors, neoplasms, carcinomas, sarcomas, leukemias and lymphomas.

如本文所用,術語「BRD9」係指含溴結構域蛋白質9,BAF (BRG1或BRM相關因子)複合物(一種SWI/SNF ATP酶染色質重塑複合物)之組成部分,且屬於含溴結構域蛋白質之IV家族。BRD9由BRD9 基因編碼,其核酸序列在SEQ ID NO: 1中示出。術語「BRD9」亦指野生型BRD9蛋白質之天然變異體,諸如蛋白質與SEQ ID NO: 2中所示之野生型BRD9之胺基酸序列具有至少85%序列一致性(例如85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%、99.9%一致性或更多)。As used herein, the term "BRD9" refers to the bromine-containing domain protein 9, a component of BAF (BRG1 or BRM-related factor) complex (a SWI/SNF ATPase chromatin remodeling complex), and belongs to the bromine-containing structure The IV family of domain proteins. BRD9 is encoded by the BRD9 gene, and its nucleic acid sequence is shown in SEQ ID NO:1. The term "BRD9" also refers to a natural variant of the wild-type BRD9 protein, such as the protein having at least 85% sequence identity (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, 99.9% consistency or more).

如本文所用,術語「BRD9相關病症」係指由BRD9之水準及/或活性引起或受其影響的病症。術語「癌症」係指由惡性贅生性細胞增殖所引起之疾患,諸如腫瘤、贅生物、癌瘤、肉瘤、白血病及淋巴瘤。As used herein, the term "BRD9-related disorder" refers to a disorder caused by or affected by the level and/or activity of BRD9. The term "cancer" refers to diseases caused by the proliferation of malignant neoplastic cells, such as tumors, neoplasms, carcinomas, sarcomas, leukemias and lymphomas.

如本文所用,「組合療法」或「組合投與」意謂兩種(或更多種)不同藥劑或治療作為界定用於特定疾病或疾患之治療方案的一部分投與個體。治療方案界定各藥劑之投與劑量及週期,使得單獨藥劑對個體之作用重疊。在一些實施例中,兩種或更多種藥劑之遞送係同時的或同時發生的,且藥劑可共同調配。在一些實施例中,兩種或更多種藥劑不共同調配,且作為指定方案之一部分以連續方式投與。在一些實施例中,兩種或更多種藥劑或治療組合投與使得症狀或與病症有關之其他參數減少,程度超過在單獨遞送之一種藥劑或治療下或在缺乏其他藥劑或治療下將觀測到的症狀或參數。兩種治療之作用可部分累加,整體累加,或超過累加(例如協同)。各治療劑之連續或基本上同時投與可藉由任何適當途徑實現,包括(但不限於)口服途徑、靜脈內途徑、肌肉內途徑及穿過黏膜組織直接吸收。治療劑可藉由相同途徑或藉由不同途徑投與。舉例而言,組合之治療劑可藉由靜脈內注射投與,而組合之第二治療劑可經口投與。As used herein, "combination therapy" or "combination administration" means that two (or more) different agents or treatments are administered to an individual as part of a treatment regimen defined for a particular disease or condition. The treatment plan defines the dosage and period of each agent, so that the effects of the individual agents on the individual overlap. In some embodiments, the delivery of two or more agents is simultaneous or simultaneous, and the agents can be formulated together. In some embodiments, the two or more agents are not co-formulated and are administered in a continuous manner as part of a designated regimen. In some embodiments, the administration of two or more agents or treatments in combination results in a reduction in symptoms or other parameters related to the condition to a degree that exceeds what would be observed under one agent or treatment delivered alone or in the absence of other agents or treatments. Symptoms or parameters. The effects of the two treatments can be partially cumulative, overall cumulative, or more than cumulative (for example, synergy). The continuous or substantially simultaneous administration of each therapeutic agent can be achieved by any appropriate route, including (but not limited to) oral route, intravenous route, intramuscular route, and direct absorption through mucosal tissues. The therapeutic agents can be administered by the same route or by different routes. For example, the combined therapeutic agent can be administered by intravenous injection, and the combined second therapeutic agent can be administered orally.

如本文所用,「本發明之化合物」及類似術語,無論是否明確指示,均係指可用於治療本文所述之BAF相關病症(例如癌症或感染)的化合物,例如化合物D1、化合物S-D1、化合物R-D1或化合物D2,以及其鹽(例如醫藥學上可接受之鹽)、溶劑合物、水合物、立體異構物(包括阻轉異構物)及互變異構物。所屬領域之技術人員將瞭解,本文所述之某些化合物可呈一或多種不同異構物(例如立體異構物、幾何異構物、阻轉異構物及互變異構物)或同位素(例如其中一或多個原子已經該原子之不同同位素取代,諸如氘取代氫)形式存在。除非另外指示或自上下文清楚,否則所描繪之結構可理解為代表個別或組合之任何此類異構物或同位素形式。本文所述之化合物可為不對稱的(例如具有一或多個立構中心)。除非另外指示,否則意欲諸如對映異構物及非對映異構物之所有立體異構物。含有經不對稱取代之碳原子的本揭示案之化合物可呈光學活性或外消旋形式分離。所屬領域中已知自光學活性之起始物質製備光學活性形式之方法,諸如藉由解析外消旋混合物或藉由立體選擇性合成。烯烴、C = N雙鍵及其類似物之許多幾何異構物亦可存在于本文所述之化合物中,且本揭示案中涵蓋所有此類穩定異構物。描述本揭示案之化合物之順式與反式幾何異構物且可呈異構物混合物或呈單獨異構物形式分離。在一些實施例中,本文中描繪之一或多種化合物可呈不同互變異構形式存在。如自上下文清楚,除非明確排除,否則提及此類化合物涵蓋所有此類互變異構形式。在一些實施例中,互變異構形式由單鍵與相鄰雙鍵交換及伴隨質子遷移產生。在某些實施例中,互變異構形式可為質子移變互變異構物,其為具有與參考形式相同之經驗式及總電荷的異構物質子化狀態。具有質子移變互變異構形式之部分的實例為酮-烯醇對、醯胺-亞胺酸對、內醯胺-內醯亞胺對、烯胺-亞胺酸對、烯胺-亞胺對及環狀形式,其中質子可佔據雜環系統之兩個或更多個位置,諸如1H-及3H-咪唑、1H-、2H-及4H-1,2,4-三唑、1H-及2H-異吲哚、以及1H-及2H-吡唑。在一些實施例中,互變異構形式可處於平衡中或藉由適當取代而在空間上鎖定成一種形式。在某些實施例中,互變異構形式由縮醛互變產生。As used herein, "the compound of the present invention" and similar terms, whether or not explicitly indicated, refer to compounds that can be used to treat the BAF-related disorders (such as cancer or infection) described herein, such as compound D1, compound S-D1, and Compound R-D1 or Compound D2, and its salts (for example, pharmaceutically acceptable salts), solvates, hydrates, stereoisomers (including atropisomers) and tautomers. Those skilled in the art will understand that certain compounds described herein can be in one or more different isomers (such as stereoisomers, geometric isomers, atropisomers, and tautomers) or isotopes ( For example, one or more atoms have been substituted with different isotopes of the atom, such as deuterium instead of hydrogen). Unless otherwise indicated or clear from the context, the depicted structures can be understood to represent any such isomeric or isotopic forms individually or in combination. The compounds described herein may be asymmetric (e.g., have one or more stereocenters). Unless otherwise indicated, all stereoisomers such as enantiomers and diastereomers are intended. The compounds of the present disclosure containing asymmetrically substituted carbon atoms can be isolated in optically active or racemic form. Methods for preparing optically active forms from optically active starting materials are known in the art, such as by resolving racemic mixtures or by stereoselective synthesis. Many geometric isomers of olefins, C=N double bonds and their analogs can also be present in the compounds described herein, and this disclosure encompasses all such stable isomers. The cis and trans geometric isomers of the compounds described in the present disclosure can be separated as a mixture of isomers or as individual isomers. In some embodiments, one or more of the compounds described herein may exist in different tautomeric forms. If it is clear from the context, references to such compounds encompass all such tautomeric forms unless explicitly excluded. In some embodiments, tautomeric forms result from the exchange of single bonds with adjacent double bonds and accompanying proton migration. In some embodiments, the tautomeric form may be a proton shift tautomer, which is the protonation state of an isomeric substance having the same empirical formula and total charge as the reference form. Examples of moieties with proton shift tautomeric forms are keto-enol pairs, amide-imine pairs, endo-amino-imine pairs, enamine-imine pairs, enamine-imine pairs For cyclic forms, where protons can occupy two or more positions in the heterocyclic ring system, such as 1H- and 3H-imidazole, 1H-, 2H- and 4H-1,2,4-triazole, 1H- and 2H-isoindole, and 1H- and 2H-pyrazole. In some embodiments, the tautomeric forms may be in equilibrium or sterically locked into one form by appropriate substitution. In certain embodiments, tautomeric forms result from acetal interconversion.

如本文所用,術語「降解劑」係指包括降解部分之小分子化合物,其中該化合物與蛋白質(例如BRD9)以引起蛋白質降解之方式相互作用,例如化合物之結合引起例如細胞或個體中蛋白質水準減少至少5%。As used herein, the term "degrading agent" refers to a small molecule compound that includes a degraded portion, where the compound interacts with a protein (such as BRD9) in a manner that causes protein degradation, for example, the binding of the compound causes, for example, a decrease in protein levels in cells or individuals At least 5%.

如本文所用,術語「降解部分」係指結合引起例如BRD9之蛋白質降解的部分。在一個實例中,該部分結合於代謝例如BRD9之蛋白質的蛋白酶或泛素連接酶。As used herein, the term "degradation moiety" refers to a moiety that binds to cause protein degradation such as BRD9. In one example, the moiety binds to a protease or ubiquitin ligase that metabolizes proteins such as BRD9.

「測定蛋白質水準」意謂藉由所屬領域中已知之方法直接或間接偵測蛋白質或編碼蛋白質之mRNA。「直接測定」意謂執行一種方法(例如對樣品執行分析或測試或「分析樣品」,如該術語在本文中定義時)以獲得物理實體或值。「間接測定」係指接受來自另一方或來源(例如直接獲得物理實體或值之第三方實驗室)之物理實體或值。量測蛋白質水準之方法一般包括(但不限於)西方墨點法、免疫墨點法、酶聯免疫吸附分析(ELISA)、放射免疫分析(RIA)、免疫沈澱、免疫螢光、表面電漿子共振、化學發光、螢光偏振、磷光、免疫組織化學分析、基質輔助雷射脫附/離子化飛行時間(MALDI-TOF)質譜法、液體層析(LC)-質譜法、微流式細胞術術、顯微術、螢光活化之細胞分選(FACS)及流式細胞術術,以及基於包括(但不限於)酶活性或與其他蛋白質搭配物之相互作用之蛋白質特性的分析。所屬領域中已知量測mRNA水準之方法。"Determining protein levels" means directly or indirectly detecting proteins or mRNA encoding proteins by methods known in the art. "Direct determination" means performing a method (eg, performing analysis or testing on a sample or "analyzing a sample" as the term is defined herein) to obtain a physical entity or value. "Indirect measurement" refers to receiving a physical entity or value from another party or source (for example, a third-party laboratory that directly obtains the physical entity or value). Methods of measuring protein levels generally include (but are not limited to) Western blotting method, immunoblotting method, enzyme-linked immunosorbent assay (ELISA), radioimmunoassay (RIA), immunoprecipitation, immunofluorescence, surface plasma Resonance, chemiluminescence, fluorescence polarization, phosphorescence, immunohistochemical analysis, matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry, liquid chromatography (LC)-mass spectrometry, microflow cytometry Techniques, microscopy, fluorescence-activated cell sorting (FACS) and flow cytometry, as well as analysis based on protein properties including (but not limited to) enzyme activity or interaction with other protein partners. Methods for measuring mRNA levels are known in the art.

如本文所用,術語本文所述之降低BRD9之水準及/或活性(例如細胞或個體中)之藥劑的「有效量」、「治療有效量」及「足夠量」係指當向包括人類之個體投與時足以實現有益或期望結果,包括臨床結果之量,因而,「有效量」或其同義詞視其應用之背景而定。舉例而言,在治療癌症之背景下,其為降低BRD9之水準及/或活性之藥劑與在不投與降低BRD9之水準及/或活性之藥劑下獲得之反應相比足以實現治療反應的量。與此類量對應的所給定的本文所述之降低BRD9之水準及/或活性之藥劑的量將視多種因素而變化,該等因素諸如所給定之藥劑、醫藥製劑、投藥途徑、疾病或病症類型、所治療之個體或宿主之特性(例如年齡、性別及/或體重)及其類似因素,然而可藉由所屬領域之技術人員按常規測定。此外,如本文所用,本揭示案之降低BRD9之水準及/或活性之藥劑的「治療有效量」為與對照物相比中個體中產生有益或期望結果之量。如本文中所定義,本揭示案之降低BRD9之水準及/或活性之藥劑的治療有效量容易藉由所屬領域之一般技術人員藉由所屬領域中已知之常規方法測定。可調整給藥方案以提供最佳治療反應。As used herein, the term "effective amount", "therapeutically effective amount" and "sufficient amount" of an agent that reduces the level and/or activity of BRD9 (for example, in cells or individuals) as described herein refers to individuals including humans The amount sufficient to achieve beneficial or desired results at the time of administration, including clinical results, therefore, "effective amount" or its synonyms depend on the context of its application. For example, in the context of the treatment of cancer, it is an amount sufficient to achieve a therapeutic response compared to the response obtained without administration of an agent that reduces the level and/or activity of BRD9 . The amount of a given agent that reduces the level and/or activity of BRD9 as described herein corresponding to such an amount will vary depending on a variety of factors, such as the given agent, pharmaceutical preparation, route of administration, disease or The type of disease, the characteristics of the individual or host being treated (for example, age, sex, and/or weight) and similar factors can be routinely determined by those skilled in the art. In addition, as used herein, the "therapeutically effective amount" of the agent that reduces the level and/or activity of BRD9 in the present disclosure is the amount that produces a beneficial or desired result in an individual compared to a control. As defined herein, the therapeutically effective amount of the agent for reducing the level and/or activity of BRD9 in the present disclosure can be easily determined by a person of ordinary skill in the art by conventional methods known in the art. The dosage regimen can be adjusted to provide the best therapeutic response.

如本文所用,術語「抑制劑」係指降低蛋白質(例如BRD9)之水準及/或活性之任何藥劑。抑制劑之非限制性實例包括小分子抑制劑、降解劑、抗體、酶或多核苷酸(例如siRNA)。As used herein, the term "inhibitor" refers to any agent that reduces the level and/or activity of a protein (such as BRD9). Non-limiting examples of inhibitors include small molecule inhibitors, degradants, antibodies, enzymes, or polynucleotides (e.g., siRNA).

「水準」意謂蛋白質或編碼蛋白質之mRNA與參考相比之水準。參考可為如本文中定義之任何有用之參考。「降低水準」或「增加水準」之蛋白質意謂蛋白質水準與參考相比降低或增加(例如降低或增加約5%、約10%、約15%、約20%、約25%、約30%、約35%、約40%、約45%、約50%、約55%、約60%、約65%、約70%、約75%、約80%、約85%、約90%、約95%、約100%、約150%、約200%、約300%、約400%、約500%或更多;與參考相比降低或增加超過約10%、約15%、約20%、約50%、約75%、約100%或約200%;降低或增加小於約0.01倍、約0.02倍、約0.1倍、約0.3倍、約0.5倍、約0.8倍或更小;或增加超過約1.2倍、約1.4倍、約1.5倍、約1.8倍、約2.0倍、約3.0倍、約3.5倍、約4.5倍、約5.0倍、約10倍、約15倍、約20倍、約30倍、約40倍、約50倍、約100倍、約1000倍或更多)。蛋白質水準可以相對於樣品中之總蛋白質或mRNA的品質/體積(例如g/dL、mg/mL、μg/mL、ng/mL)或百分比表述。"Level" means the level of the protein or mRNA encoding the protein compared to the reference. The reference can be any useful reference as defined herein. The "decrease level" or "increase level" of the protein means that the protein level is decreased or increased compared to the reference (e.g. decreased or increased by about 5%, about 10%, about 15%, about 20%, about 25%, about 30% , About 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 100%, about 150%, about 200%, about 300%, about 400%, about 500%, or more; compared with the reference, decrease or increase by more than about 10%, about 15%, about 20%, About 50%, about 75%, about 100%, or about 200%; decrease or increase by less than about 0.01 times, about 0.02 times, about 0.1 times, about 0.3 times, about 0.5 times, about 0.8 times or less; or increase by more than About 1.2 times, about 1.4 times, about 1.5 times, about 1.8 times, about 2.0 times, about 3.0 times, about 3.5 times, about 4.5 times, about 5.0 times, about 10 times, about 15 times, about 20 times, about 30 times Times, about 40 times, about 50 times, about 100 times, about 1000 times or more). The protein level can be expressed relative to the quality/volume (eg g/dL, mg/mL, μg/mL, ng/mL) or percentage of the total protein or mRNA in the sample.

「調節BAF複合物之活性」意謂改變與BAF複合物(例如GBAF)有關之活性之水準,或相關下游效應。BAF複合物之活性水準可使用所屬領域中已知之任何方法,例如Kadoch等人, Cell 153:71-85 (2013)中所述之方法量測,該等方法以引用之方式併入本文中。"Regulating the activity of the BAF complex" means to change the level of the activity related to the BAF complex (such as GBAF), or related downstream effects. The activity level of the BAF complex can be measured using any method known in the art, for example, the method described in Kadoch et al., Cell 153:71-85 (2013), and these methods are incorporated herein by reference.

關於參考多核苷酸或多肽序列之「序列一致性百分比(%)」定義為在比對序列及必要時引入間隙以實現最大序列一致性百分比後,候選序列中與參考多核苷酸或多肽序列中之核酸或胺基酸一致之核酸或胺基酸的百分比。用於測定核酸或胺基酸序列一致性百分比之比對可用在所屬領域之技術人員能力範圍內之多種方式,例如使用公眾可獲得之電腦軟體,諸如BLAST、BLAST-2或Megalign軟體來實現。所屬領域之技術人員可確定用於比對序列之適當參數,包括實現所比較之全長序列上之最大比對所需的任何演算法。舉例而言,可使用序列比較電腦程式BLAST產生序列一致性百分比值。作為例證,所給定之核酸或胺基酸序列A相對於、與或對比所給定之核酸或胺基酸序列B的序列一致性百分比(其可替代地用短語表達為相對於、與或對比所給定之核酸或胺基酸序列B具有一定序列一致性百分比的A)如下計算: 100乘以(分數X/Y) 其中X為在序列比對程式(例如BLAST)對A及B進行比對中,藉由程式評分為一致匹配的核苷酸或胺基酸數目,且其中Y為B中核酸總數。應瞭解,在核酸或胺基酸序列A之長度與核酸或胺基酸序列B之長度不等的情況下,A對B之序列一致性百分比不等於B對A之序列一致性百分比。The "percentage of sequence identity (%)" with respect to a reference polynucleotide or polypeptide sequence is defined as the comparison between the candidate sequence and the reference polynucleotide or polypeptide sequence after the sequence is aligned and gaps are introduced when necessary to achieve the maximum sequence identity percentage. The percentage of the nucleic acid or amino acid that is the same as the nucleic acid or amino acid. The alignment used to determine the percent identity of nucleic acid or amino acid sequences can be implemented in a variety of ways within the capabilities of those skilled in the art, for example, using publicly available computer software, such as BLAST, BLAST-2, or Megalign software. Those skilled in the art can determine the appropriate parameters for the alignment of the sequences, including any algorithms required to achieve the maximum alignment over the full-length sequences being compared. For example, the sequence comparison computer program BLAST can be used to generate a sequence identity percentage value. As an illustration, the percentage of sequence identity of a given nucleic acid or amino acid sequence A relative to, with or compared to a given nucleic acid or amino acid sequence B (which can alternatively be expressed as relative to, and or compared with The given nucleic acid or amino acid sequence B has a certain percentage of sequence identity A) is calculated as follows: Multiply by 100 (fraction X/Y) Where X is the number of nucleotides or amino acids that are scored as unanimous matches in sequence comparison programs (such as BLAST) for comparing A and B, and Y is the total number of nucleic acids in B. It should be understood that when the length of the nucleic acid or amino acid sequence A is not equal to the length of the nucleic acid or amino acid sequence B, the sequence identity percentage of A to B is not equal to the sequence identity percentage of B to A.

如本文所用,「醫藥學上可接受之賦形劑」係指除本文所述之化合物以外(例如能夠使活性化合物懸浮或溶解之媒劑)且在患者中具有基本上無毒及非炎性之特性的任何成分。賦形劑可包括例如:抗黏著劑、抗氧化劑、黏合劑、包衣、壓縮助劑、崩解劑、染料(著色劑)、軟化劑、乳化劑、填充劑(稀釋劑)、成膜劑或包衣、調味劑、香料、助流劑(流動增強劑)、潤滑劑、防腐劑、印刷油墨、吸附劑、懸浮或分散劑、甜味劑及水合水。As used herein, "pharmaceutically acceptable excipients" refer to compounds other than the compounds described herein (e.g., vehicles capable of suspending or dissolving the active compound) and that are substantially non-toxic and non-inflammatory in patients Characteristics of any ingredients. Excipients may include, for example: anti-adhesive agents, antioxidants, binders, coatings, compression aids, disintegrants, dyes (colorants), softeners, emulsifiers, fillers (diluents), film forming agents Or coatings, flavoring agents, perfumes, glidants (flow enhancers), lubricants, preservatives, printing inks, adsorbents, suspending or dispersing agents, sweeteners and hydration water.

如本文所用,術語「醫藥學上可接受之鹽」意謂本文所述之化合物中之任何化合物的任何醫藥學上可接受之鹽。舉例而言,本文所述之任何化合物之醫藥學上可接受之鹽包括在合理醫學判斷範圍內,適於與人類及動物之組織接觸使用,無過度毒性、刺激、過敏反應,且與合理益處/風險比相稱的鹽。醫藥學上可接受之鹽係所屬領域中所熟知的。舉例而言,醫藥學上可接受之鹽描述於以下中:Berge等人, J. Pharmaceutical Sciences 66:1-19, 1977及Pharmaceutical Salts: Properties, Selection, and Use, (P.H. Stahl及C.G. Wermuth編輯), Wiley-VCH, 2008。鹽可在本文所述之化合物之最終分離及純化期間當場製備,或藉由游離鹼基團與合適有機酸反應而單獨製備。本文所述之化合物可具有可離子化基團以便能夠製備成醫藥學上可接受之鹽。此等鹽可為涉及無機酸或有機酸之酸加成鹽,或在本文所述之化合物之酸性形式的情況下,鹽可自無機鹼或有機鹼製備。化合物常製備成呈醫藥學上可接受之酸或鹼之加成產物製備的醫藥學上可接受之鹽或呈醫藥學上可接受之鹽使用。合適的醫藥學上可接受之酸及鹼以及適當鹽之製備方法係所屬領域中熟知的。鹽可自包括無機酸及有機酸以及無機鹼及有機鹼的醫藥學上可接受之無毒酸及鹼製備。As used herein, the term "pharmaceutically acceptable salt" means any pharmaceutically acceptable salt of any of the compounds described herein. For example, pharmaceutically acceptable salts of any compound described herein are included within the scope of reasonable medical judgment, suitable for use in contact with human and animal tissues, without excessive toxicity, irritation, and allergic reactions, and with reasonable benefits /Risk ratio commensurate with salt. Pharmaceutically acceptable salts are well known in the art. For example, pharmaceutically acceptable salts are described in the following: Berge et al., J. Pharmaceutical Sciences 66:1-19, 1977 and Pharmaceutical Salts: Properties, Selection, and Use, (edited by PH Stahl and CG Wermuth) , Wiley-VCH, 2008. Salts can be prepared on the spot during the final isolation and purification of the compounds described herein, or separately prepared by reacting the free base group with a suitable organic acid. The compounds described herein may have ionizable groups so that they can be prepared into pharmaceutically acceptable salts. These salts may be acid addition salts involving inorganic or organic acids, or in the case of the acidic forms of the compounds described herein, the salts may be prepared from inorganic or organic bases. The compound is often prepared as a pharmaceutically acceptable salt prepared as a pharmaceutically acceptable acid or base addition product or used as a pharmaceutically acceptable salt. The preparation methods of suitable pharmaceutically acceptable acids and bases and suitable salts are well known in the art. Salts can be prepared from pharmaceutically acceptable non-toxic acids and bases including inorganic acids and organic acids, as well as inorganic bases and organic bases.

如本文所用,術語「醫藥組合物」表示含有與醫藥學上可接受之賦形劑一起調配之本文所述之化合物且經政府管理機構批准作為用於治療哺乳動物之疾病之治療方案的一部分製造或出售的組合物。醫藥組合物可例如調配用於呈單位劑型(例如錠劑、膠囊、囊片、明膠膠囊或糖漿)口服;用於表面投與(例如呈乳膏、凝膠、洗劑或軟膏);用於靜脈內投與(例如呈不含微粒栓子且於適合於靜脈內使用之溶劑系統中的無菌溶液);或呈任何其他醫藥學上可接受之調配物。As used herein, the term "pharmaceutical composition" means that it contains the compound described herein formulated with pharmaceutically acceptable excipients and is manufactured as part of a treatment plan for the treatment of diseases in mammals approved by a government regulatory agency Or the composition sold. The pharmaceutical composition can, for example, be formulated for oral administration in a unit dosage form (for example, lozenge, capsule, caplet, gelatin capsule or syrup); for topical administration (for example, as a cream, gel, lotion or ointment); for Intravenous administration (for example, as a sterile solution that does not contain microscopic emboli and is suitable for intravenous use in a solvent system); or in any other pharmaceutically acceptable formulation.

「降低BRD9活性」意謂降低與BRD9有關之活性之水準或相關下游效應。抑制BRD9活性之一非限制性實例為降低細胞中BAF複合物(例如GBAF)之水準。BRD9之活性水準可使用所屬領域中已知之任何方法量測。在一些實施例中,降低BRD9活性之藥劑為小分子BRD9抑制劑。在一些實施例中,降低BRD9活性之藥劑為小分子BRD9降解劑。"Reduce BRD9 activity" means to reduce the level of BRD9-related activity or related downstream effects. One non-limiting example of inhibiting BRD9 activity is reducing the level of BAF complexes (e.g. GBAF) in cells. The activity level of BRD9 can be measured using any method known in the art. In some embodiments, the agent that reduces the activity of BRD9 is a small molecule BRD9 inhibitor. In some embodiments, the agent that reduces the activity of BRD9 is a small molecule BRD9 degrading agent.

「降低BRD9水準」意謂降低細胞或個體中BRD9之水準。BRD9之水準可使用所屬領域中已知之任何方法量測。"Reduce the level of BRD9" means to reduce the level of BRD9 in a cell or an individual. The level of BRD9 can be measured using any method known in the art.

「參考」意謂用於比較蛋白質或mRNA水準之任何有用參考。參考可為用於達成比較目的之任何樣品、標準、標準曲線或水準。參考可為正常參考樣品或參考標準或水準。「參考樣品」可為例如對照物,例如預先確定之陰性對照值,諸如取自同一個體之「正常對照物」或先前樣品;來自正常健康個體之樣品,諸如正常細胞或正常組織;來自未患病之個體之樣品(例如細胞或組織);來自經診斷患有疾病但未用本文所述之化合物治療之個體的樣品;來自已經本文所述之化合物治療之個體的樣品;或經純化在已知標準濃度下之蛋白質(例如本文所述之任一者)的樣品。「參考標準或水準」意謂源自於參考樣品之值或數值。「正常對照值」為指示非疾病病況之預測定值,例如在健康對照個體中預期之值。通常,正常對照值可表述為範圍(「介於X與Y之間」)、高閾值(「不高於X」)或低閾值(「不低於X」)。對特定生物標記物之測定值在正常對照值內的個體通常稱為在該生物標記物之「正常界限內」。正常參考標準或水準可為源自於未患疾病或病症(例如癌症)之正常個體的值或數值;已用本文所述之化合物治療的個體。在較佳實施例中,藉由以下標準中之至少一者,參考樣品、標準或水準與樣品受試樣品匹配:年齡、體重、性別、疾病階段及總體健康狀態。在正常參考範圍內的經純化蛋白質,例如本文所述之任一者之水準的標準曲線亦可用作參考。"Reference" means any useful reference for comparing protein or mRNA levels. The reference can be any sample, standard, standard curve or level used for comparison purposes. The reference can be a normal reference sample or a reference standard or level. The "reference sample" can be, for example, a control, such as a predetermined negative control value, such as a "normal control" taken from the same individual or a previous sample; a sample from a normal healthy individual, such as normal cells or normal tissue; A sample of a diseased individual (such as a cell or tissue); a sample from an individual diagnosed with a disease but not treated with a compound described herein; a sample from an individual that has been treated with a compound described herein; or a sample that has been purified Know a sample of the protein (such as any one described herein) at a standard concentration. "Reference standard or level" means a value or value derived from a reference sample. "Normal control value" is a predictive value indicating a non-disease condition, such as a value expected in healthy control individuals. Generally, the normal control value can be expressed as a range ("between X and Y"), a high threshold ("not higher than X"), or a low threshold ("not lower than X"). An individual whose measured value for a specific biomarker is within the normal control value is usually said to be within the "normal limits" of the biomarker. The normal reference standard or level may be a value or value derived from a normal individual who does not have a disease or condition (such as cancer); an individual who has been treated with the compounds described herein. In a preferred embodiment, the reference sample, standard or level is matched with the sample tested sample by at least one of the following criteria: age, weight, gender, disease stage, and general health status. The purified protein within the normal reference range, such as a standard curve of any of the levels described herein, can also be used as a reference.

如本文所用,術語「個體」係指根據本發明之組合物可投與以例如達成實驗、診斷、預防性及/或治療性目的之任何生物體。典型個體包括任何動物(例如哺乳動物,諸如小鼠、大鼠、兔、非人類靈長類動物及人類)。個體可尋求或需要治療,需要治療,正接受治療,將來接受治療,或為處於訓練有素之專業人員針對特定疾病或疾患進行照護下的人類或動物。As used herein, the term "individual" refers to any organism to which the composition according to the present invention can be administered, for example, for experimental, diagnostic, prophylactic and/or therapeutic purposes. Typical individuals include any animal (e.g., mammals such as mice, rats, rabbits, non-human primates, and humans). Individuals may seek or need treatment, need treatment, are undergoing treatment, will be treated in the future, or be a human or animal under the care of a well-trained professional for a specific disease or condition.

如本文所用,術語「SS18-SSX融合蛋白相關病症」係指由SS18-SSX融合蛋白之水準及/或活性引起或受其影響的病症。As used herein, the term "SS18-SSX fusion protein-related disorder" refers to a disorder caused by or affected by the level and/or activity of the SS18-SSX fusion protein.

如本文所用,術語「治療(treat/treated/treating)」意謂治療性治療與預防性或預防措施,其中目標係預防或減慢(減輕)不希望有之生理疾患、病症或疾病,或獲得有益或期望臨床結果。有益或期望臨床結果包括(但不限於)減輕症狀;降低疾患、病症或疾病之程度;疾患、病症或疾病之狀態穩定(亦即未惡化);疾患、病症或疾病進展之發作延遲或減慢;改善疾患、病症或疾病病況或症狀緩解(無論部分還是總體),無論可偵測還是不可偵測;改善至少一種可量測之物理參數,患者不一定可辨別;或疾患、病症或疾病改善或好轉。治療包括引起臨床顯著反應,無過度副作用水準。治療亦包括與未接受治療下預期存活期相比延長存活期。As used herein, the term "treat/treated/treating" means therapeutic treatment and preventive or preventive measures, in which the goal is to prevent or slow down (relieve) undesirable physiological disorders, disorders or diseases, or obtain Beneficial or expected clinical results. Beneficial or desired clinical results include (but are not limited to) alleviation of symptoms; reduction of the severity of the disease, disease, or disease; stable state of the disease, disease, or disease (that is, no deterioration); delayed or slower onset of disease, disease, or disease progression ; Improve disease, disease or disease condition or symptom relief (whether partly or overall), whether detectable or undetectable; improve at least one measurable physical parameter, which may not be discernible by the patient; or improve disease, disease or disease Or get better. Treatment involves causing clinically significant reactions without excessive side effects. Treatment also includes prolonging survival compared to expected survival without receiving treatment.

如本文所用,術語「變異體」及「衍生物」可互換使用且係指本文所述之化合物、肽、蛋白質或其他物質之天然存在、合成及半合成類似物。本文所述之化合物、肽、蛋白質或其他物質的變異體或衍生物可保留或改善原始物質之生物活性。As used herein, the terms "variant" and "derivative" are used interchangeably and refer to naturally-occurring, synthetic, and semi-synthetic analogs of the compounds, peptides, proteins, or other substances described herein. The variants or derivatives of the compounds, peptides, proteins or other substances described herein can retain or improve the biological activity of the original substances.

本發明之一或多種實施例的細節在以下描述中闡明。本發明之其他特徵、物件及優點將自描述及自申請專利範圍中顯而易見。The details of one or more embodiments of the present invention are set forth in the following description. Other features, objects and advantages of the present invention will be apparent from the description and the scope of the patent application.

本揭示案特徵在於可用於治療BAF相關病症(例如癌症及感染)之組合物及方法。本揭示案進一步特徵在於可用於在有需要之個體中抑制BRD9之水準及/或活性,例如用於治療諸如癌症(例如肉瘤)及感染(例如病毒感染)之病症的組合物及方法。化合物 The present disclosure features compositions and methods that can be used to treat BAF-related disorders, such as cancer and infection. The present disclosure is further characterized by compositions and methods that can be used to inhibit the level and/or activity of BRD9 in individuals in need, for example, for the treatment of conditions such as cancer (e.g., sarcoma) and infection (e.g., viral infection). Compound

本文所述之化合物降低細胞或個體中與BRD9有關之活性之水準或相關下游效應,或降低細胞或個體中之BRD9水準。本文所述之示例性化合物具有表1中化合物D1、S-D1、R-D1及D2之結構,或其醫藥學上可接受之鹽。醫藥用途 The compounds described herein reduce the level of BRD9-related activity or related downstream effects in a cell or individual, or reduce the level of BRD9 in a cell or individual. The exemplary compounds described herein have the structures of compounds D1, S-D1, R-D1 and D2 in Table 1, or pharmaceutically acceptable salts thereof. Medical use

本文所述之化合物可用於本發明之方法中,且雖然不受理論束縛,但鹹信經由其調節BAF複合物之水準、狀態及/或活性的能力,例如藉由抑制哺乳動物中之細胞中BAF複合物內BRD9蛋白質之活性或水準,發揮其理想作用。The compounds described herein can be used in the methods of the present invention, and although not bound by theory, it is believed that they can regulate the level, state, and/or activity of BAF complexes, for example, by inhibiting cells in mammals. The activity or level of the BRD9 protein in the BAF complex plays its ideal role.

本發明之一態樣係關於治療與BRD9有關之病症,諸如有需要之個體之癌症的方法。在一些實施例中,化合物以有效產生以下中之一者(或更多者,例如兩者或更多者、三者或更多者、四者或更多者)的量及時間來投與:(a)減小腫瘤尺寸;(b)降低腫瘤生長速率;(c)增加腫瘤細胞死亡;(d)減慢腫瘤進展;(e)減少轉移數目;(f)降低轉移速率;(g)減少腫瘤復發;(h)增加個體存活率;及(i)增加個體之無進展存活期。One aspect of the present invention relates to methods for treating BRD9-related conditions, such as cancer in individuals in need. In some embodiments, the compound is administered in an amount and time effective to produce one of the following (or more, such as two or more, three or more, four or more) : (A) reduce tumor size; (b) reduce tumor growth rate; (c) increase tumor cell death; (d) slow down tumor progression; (e) reduce the number of metastases; (f) reduce metastasis rate; (g) Reduce tumor recurrence; (h) increase the survival rate of the individual; and (i) increase the progression-free survival of the individual.

治療癌症可引起腫瘤尺寸或體積減小。舉例而言,在治療後,腫瘤尺寸相對於其在治療之前的尺寸減小5%或更大(例如10%、20%、30%、40%、50%、60%、70%、80%、90%或更大)。腫瘤尺寸可藉由任何可複現之量測方式量測。舉例而言,腫瘤尺寸可量測為腫瘤直徑。Treating cancer can cause tumor size or volume to decrease. For example, after treatment, the size of the tumor is reduced by 5% or more relative to its size before treatment (e.g., 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80% , 90% or greater). The tumor size can be measured by any reproducible measurement method. For example, tumor size can be measured as tumor diameter.

治療癌症可進一步引起腫瘤數目減少。舉例而言,在治療後,腫瘤數目相對於在治療之前的數目減少5%或更大(例如10%、20%、30%、40%、50%、60%、70%、80%、90%或更大)。腫瘤數目可藉由任何可複現之量測方式量測,例如腫瘤數目可藉由計數肉眼可見或在指定放大率(例如2x、3x、4x、5x、10x或50x)下可見之腫瘤量測。Treating cancer can further reduce the number of tumors. For example, after treatment, the number of tumors is reduced by 5% or more relative to the number before treatment (e.g., 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%). % Or greater). The number of tumors can be measured by any reproducible measurement method. For example, the number of tumors can be measured by counting tumors that are visible to the naked eye or at a specified magnification (such as 2x, 3x, 4x, 5x, 10x, or 50x) .

治療癌症可引起遠離原發腫瘤部位之其他組織或器官中轉移性結節之數目減少。舉例而言,在治療後,轉移性結節之數目相對於在治療之前的數目減少5%或更大(例如10%、20%、30%、40%、50%、60%、70%、80%、90%或更大)。轉移性結節之數目可藉由任何可複現之量測方式量測。舉例而言,轉移性結節之數目可藉由計數肉眼可見或在指定放大率(例如2x、10x或50x)下可見之轉移性結節量測。Treatment of cancer can cause a decrease in the number of metastatic nodules in other tissues or organs far away from the original tumor site. For example, after treatment, the number of metastatic nodules is reduced by 5% or more relative to the number before treatment (e.g., 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%). %, 90% or greater). The number of metastatic nodules can be measured by any reproducible measurement method. For example, the number of metastatic nodules can be measured by counting the metastatic nodules visible to the naked eye or at a specified magnification (for example, 2x, 10x, or 50x).

治療癌症可引起根據本發明治療之個體群體與未經治療之個體群體相比平均存活時間增加。舉例而言,平均存活時間增加超過30天(超過60天、90天或120天)。群體之平均存活時間增加可藉由任何可複現之方法量測。群體之平均存活時間增加可例如藉由計算群體在開始用本文所述之化合物治療之後的平均存活時長來量測。群體之平均存活時間增加亦可例如藉由計算群體在結束第一輪用本文所述化合物之醫藥學上可接受之鹽治療之後的平均存活時長來量測。Treating cancer can cause an increase in the average survival time of a population of individuals treated according to the present invention compared to a population of untreated individuals. For example, the average survival time increases by more than 30 days (more than 60 days, 90 days, or 120 days). The increase in the average survival time of the population can be measured by any reproducible method. The increase in the average survival time of the population can be measured, for example, by calculating the average survival time of the population after starting treatment with the compounds described herein. The increase in the average survival time of a population can also be measured, for example, by calculating the average survival time of the population after the first round of treatment with a pharmaceutically acceptable salt of the compound described herein.

治療癌症亦可引起所治療個體之群體與未經治療之群體相比死亡率下降。舉例而言,死亡率下降超過2% (例如超過5%、10%或25%)。所治療個體之群體之死亡率下降可藉由任何可複現方法量測,例如藉由計算群體在開始用本文所述化合物之醫藥學上可接受之鹽治療之後每單位時間之疾病相關死亡之平均數目來量測。群體之死亡率下降亦可藉由計算群體在結束第一輪用本文所述化合物之醫藥學上可接受之鹽治療之後每單位時間之疾病相關死亡之平均數目來量測。組合療法 Treating cancer can also cause a decrease in the mortality rate of the population of treated individuals compared to the untreated population. For example, the death rate decreased by more than 2% (e.g., more than 5%, 10%, or 25%). The reduction in mortality of the population of individuals to be treated can be measured by any reproducible method, for example, by calculating the population’s disease-related deaths per unit time after starting treatment with the pharmaceutically acceptable salts of the compounds described herein The average number is measured. The decrease in mortality in a population can also be measured by calculating the average number of disease-related deaths per unit time after the population has finished the first round of treatment with a pharmaceutically acceptable salt of the compound described herein. Combination therapy

本發明之方法可單獨或與例如治療癌症或與癌症相關之症狀的其他藥劑的另外治療劑組合或與其他類型治療癌症之療法組合使用。在組合治療中,治療性化合物中之一或多者之劑量可自單獨投與時之標準劑量減少。舉例而言,劑量可憑經驗自藥物組合及排列確定,或可藉由等輻射分析推導(例如Black等人,Neurology 65:S3-S6 (2005))。在此情況下,化合物在組合時之劑量將提供治療作用。The method of the present invention can be used alone or in combination with another therapeutic agent, such as other agents for the treatment of cancer or cancer-related symptoms, or in combination with other types of therapies for the treatment of cancer. In combination therapy, the dose of one or more of the therapeutic compounds can be reduced from the standard dose when administered alone. For example, the dose can be determined empirically from drug combinations and permutations, or can be derived by isoradiometric analysis (eg, Black et al., Neurology 65:S3-S6 (2005)). In this case, the dosage of the compound when combined will provide a therapeutic effect.

在一些實施例中,第二治療劑為化學治療劑(例如細胞毒性劑或可用於治療癌症之其他化合物)。此等包括烷基化劑、抗代謝物、葉酸類似物、嘧啶類似物、嘌呤類似物及有關抑制劑、長春花生物鹼、表鬼臼毒素、抗生素、L-天冬醯胺酶、拓撲異構酶抑制劑、干擾素、鉑配位複合物、蒽二酮取代之脲、甲基肼衍生物、腎上腺皮質抑制劑、腎上腺皮質類固醇、助孕素、雌激素、抗雌激素、雄激素、抗雄激素及促性腺激素釋放激素類似物。亦包括5-氟尿嘧啶(5-FU)、甲醯四氫葉酸(leucovorin,LV)、依立替康(irenotecan)、奧沙利鉑(oxaliplatin)、卡培他濱(capecitabine)、太平洋紫杉醇及多烯紫杉醇。化學治療劑之非限制性實例包括烷基化劑,諸如噻替派(thiotepa)及環磷醯胺;烷基磺酸酯,諸如白消安(busulfan)、英丙舒凡(improsulfan)及哌泊舒凡(piposulfan);氮丙啶,諸如苯佐替派(benzodopa)、卡巴醌(carboquone)、美妥替派(meturedopa)及烏瑞替派(uredopa);乙烯亞胺及甲基蜜胺,包括六甲蜜胺(altretamine)、曲他胺(triethylenemelamine)、三伸乙基磷醯胺(trietylenephosphoramide)、三伸乙基硫代磷醯胺(triethiylenethiophosphoramide)及三羥甲基蜜胺(trimethylolomelamine);多聚乙醯(acetogenin) (尤其布拉他辛(bullatacin)及布拉他辛酮(bullatacinone));喜樹鹼(包括合成類似物拓撲替康(topotecan));苔蘚蟲素(bryostatin);卡利斯他汀(callystatin);CC-1065 (包括其阿多來新(adozelesin)、卡折來新(carzelesin)及比折來新(bizelesin)合成類似物);念珠藻素(cryptophycin)(尤其念珠藻素1及念珠藻素8);朵拉司他汀(dolastatin);多米卡新(duocarmycin) (包括合成類似物KW-2189及CB1-TM1);艾榴塞洛素(eleutherobin);水鬼蕉鹼(pancratistatin);匍枝珊瑚醇(sarcodictyin);海綿抑素(spongistatin);氮芥類(nitrogen mustards),諸如苯丁酸氮芥(chlorambucil)、萘氮芥(chlornaphazine)、膽磷醯胺(cholophosphamide)、雌氮芥(estramustine)、異環磷醯胺(ifosfamide)、氮芥(mechlorethamine)、氮芥氧化物鹽酸鹽、美法侖(melphalan)、新恩比興(novembichin)、苯芥膽甾醇(phenesterine)、潑尼莫司汀(prednimustine)、曲磷胺(trofosfamide)、尿嘧啶氮芥(uracil mustard);亞硝基脲,諸如卡莫司汀(carmustine)、氯脲菌素(chlorozotocin)、福莫司汀(fotemustine)、洛莫司汀(lomustine)、尼莫司汀(nimustine)及雷莫司汀(ranimnustine);抗生素,諸如烯二炔抗生素(例如卡奇黴素(calicheamicin),尤其卡奇黴素γll及卡奇黴素γll (參見例如Agnew, Chem. Intl. Ed Engl. 33:183-186 (1994));達內黴素(dynemicin),包括達內黴素A;雙膦酸鹽(bisphosphonate),諸如氯膦酸鹽(clodronate);埃斯培拉黴素(esperamicin);以及新制癌菌素髮色團及相關色蛋白烯二炔抗生素發色團)、阿克拉黴素(aclacinomysin)、放線菌素(actinomycin)、安麯黴素(authramycin)、氮雜絲胺酸(azaserine)、博萊黴素(bleomycin)、放線菌素C(cactinomycin)、卡拉比星(carabicin)、洋紅黴素(caminomycin)、嗜癌菌素(carzinophilin)、色黴素(chromomycinis)、放線菌素D (dactinomycin)、道諾黴素(daunorubicin)、地托比星(detorubicin)、6-重氮基-5-側氧基-L-正白胺酸、ADRIAMYCIN® (多柔比星(doxorubicin),包括嗎啉基-多柔比星、氰基嗎啉基-多柔比星、2-吡咯啉基-多柔比星及去氧多柔比星)、表柔比星(epirubicin)、依索比星(esorubicin)、伊達比星(idarubicin)、麻西羅黴素(marcellomycin)、絲裂黴素(mitomycin) (諸如絲裂黴素C (mitomycin C))、黴酚酸(mycophenolic acid)、諾加黴素(nogalamycin)、橄欖黴素(olivomycins)、培洛黴素(peplomycin)、泊非黴素(potfiromycin)、嘌呤黴素(puromycin)、三鐵阿黴素(quelamycin)、羅多比星(rodorubicin)、鏈黑菌素(streptonigrin)、鏈脲黴素(streptozocin)、殺結核菌素(tubercidin)、烏苯美司(ubenimex)、淨司他丁(zinostatin)、佐柔比星(zorubicin);抗代謝物,諸如甲胺喋呤(methotrexate)及5-氟尿嘧啶(5-FU);葉酸類似物,諸如二甲葉酸(denopterin)、甲胺喋呤、喋羅呤(pteropterin)、三甲曲沙(trimetrexate);嘌呤類似物,諸如氟達拉濱(fludarabine)、6-巰基嘌呤(6-mercaptopurine)、硫咪嘌呤(thiamiprine)、硫鳥嘌呤(thioguanine);嘧啶類似物,諸如安西他濱(ancitabine)、阿紮胞苷(azacitidine)、6-氮尿苷(6-azauridine)、卡莫氟(carmofur)、阿糖胞苷(cytarabine)、雙去氧尿苷(dideoxyuridine)、去氧氟尿苷(doxifluridine)、依諾他濱(enocitabine)、氟尿苷(floxuridine);雄激素,諸如卡魯睪酮(calusterone)、屈他雄酮丙酸鹽(dromostanolone propionate)、表硫雄醇(epitiostanol)、美雄烷(mepitiostane)、睪內酯(testolactone);抗腎上腺藥,諸如胺魯米特(aminoglutethimide)、米托坦(mitotane)、曲洛司坦(trilostane);葉酸補充劑,諸如亞葉酸(frolinic acid);醋葡內酯(aceglatone);醛磷醯胺糖苷(aldophosphamide glycoside);胺基乙醯丙酸(aminolevulinic acid);恩尿嘧啶(eniluracil);安吖啶(amsacrine);倍曲布西(bestrabucil);比生群(bisantrene);依達曲沙(edatraxate);地磷醯胺(defofamine);地美可辛(demecolcine);地吖醌(diaziquone);依洛尼塞(elfomithine);依利醋銨乙酸鹽(elliptinium acetate);埃坡黴素(epothilone);依託格魯(etoglucid);硝酸鎵;羥基脲(hydroxyurea);蘑菇多糖(lentinan);洛尼達寧(lonidainine);美登素類(maytansinoids),諸如美登素(maytansine)及安絲菌素(ansamitocin);丙脒腙(mitoguazone);米托蒽醌(mitoxantrone);莫皮達莫(mopidanmol);二胺硝吖啶(nitraerine);噴司他丁(pentostatin);蛋胺氮芥(phenamet);吡柔比星(pirarubicin);洛索蒽醌(losoxantrone);鬼臼酸(podophyllinic acid);2-乙基醯肼;丙卡巴肼(procarbazine);PSK®多醣複合物(JHS Natural Products, Eugene, OR);雷佐生(razoxane);根黴素(rhizoxin);西佐喃(sizofuran);螺旋鍺(spirogermanium);細交鏈孢菌酮酸(tenuazonic acid);三亞胺醌(triaziquone);2,2',2''-三氯三乙胺;單端孢黴毒素(trichothecenes) (尤其T- 2毒素、瓦魯克林(verracurin A)、桿孢菌素A(roridin A)及蛇形菌素(anguidine));烏拉坦(urethan);長春地辛(vindesine);達卡巴嗪(dacarbazine);甘露莫司汀(mannomustine);二溴甘露醇(mitobronitol);二溴衛矛醇(mitolactol);哌泊溴烷(pipobroman);加胞嘧啶(gacytosine);阿糖胞苷(arabinoside,「Ara-C」);環磷醯胺;噻替派(thiotepa);紫杉烷類(taxoids),例如TAXOL® (太平洋紫杉醇;Bristol-Myers Squibb Oncology, Princeton, NJ)、ABRAXANE®無cremophor之白蛋白工程改造之太平洋紫杉醇奈米粒子調配物(American Pharmaceutical Partners, Schaumberg, IL)及TAXOTERE®多烯紫杉醇(Rhone-Poulenc Rorer, Antony, France);瘤可寧(chloranbucil);GEMZAR®吉西他濱;6-硫代鳥嘌呤(6-thioguanine);巰基嘌呤(mercaptopurine);甲胺喋呤;鉑配位複合物,諸如順鉑、奧沙利鉑及卡鉑;長春花鹼;鉑;依託泊苷(etoposide,VP-16);異環磷醯胺;米托蒽醌;長春新鹼;NAVELBINE®長春瑞濱(vinorelbine);諾消靈(novantrone);替尼泊苷(teniposide);依達曲沙(edatrexate);道諾黴素(daunomycin);胺基喋呤(aminopterin);希羅達(xeloda);伊班膦酸鹽(ibandronate);伊立替康(irinotecan)(例如CPT-11);拓撲異構酶抑制劑RFS 2000;二氟甲基]鳥胺酸(DMFO);類視色素,諸如視黃酸;卡培他濱(capecitabine);及以上任一者之醫藥學上可接受之鹽、酸或衍生物。兩種或更多種化學治療劑可呈混合物形式使用以與本文所述之第一治療劑組合投與。所屬領域中已知組合化學療法之合適給藥方案且描述於例如Saltz等人,Proc. Am. Soc. Clin. Oncol . 18:233a (1999),及Douillard等人,Lancet 355(9209):1041-1047 (2000)。In some embodiments, the second therapeutic agent is a chemotherapeutic agent (e.g., a cytotoxic agent or other compound that can be used to treat cancer). These include alkylating agents, antimetabolites, folic acid analogs, pyrimidine analogs, purine analogs and related inhibitors, vinca alkaloids, epipodophyllotoxin, antibiotics, L-asparaginase, topological differences Enzyme inhibitors, interferons, platinum coordination complexes, anthracenedione-substituted urea, methylhydrazine derivatives, adrenal cortex inhibitors, adrenal corticosteroids, progesterone, estrogen, anti-estrogens, androgens, Antiandrogens and gonadotropin releasing hormone analogs. Also includes 5-fluorouracil (5-FU), leucovorin (LV), irenotecan, oxaliplatin, capecitabine, paclitaxel and polyene Paclitaxel. Non-limiting examples of chemotherapeutic agents include alkylating agents such as thiotepa and cyclophosphamide; alkyl sulfonates such as busulfan, improsulfan and piperazine Piposulfan; aziridines, such as benzodopa, carboquone, meturedopa and uredopa; ethyleneimine and methylmelamine , Including altretamine, triethylenemelamine, trietylenephosphoramide, triethiylenethiophosphoramide and trimethylolomelamine; Polyacetogenin (especially bullatacin and bullatacinone); camptothecin (including the synthetic analogue topotecan); bryostatin; Callistatin (callystatin); CC-1065 (including its adozelesin, carzelesin and bizelesin synthetic analogues); cryptophycin (in particular Nostril 1 and Nostril 8); dolastatin; duocarmycin (including synthetic analogues KW-2189 and CB1-TM1); eleutherobin; water ghost Pancratistatin; sarcodictyin; spongistatin; nitrogen mustards, such as chlorambucil, chlornaphazine, cholephosamine (cholophosphamide), estramustine, ifosfamide, mechlorethamine, nitrogen mustard oxide hydrochloride, melphalan, novembichin, benzene Phenesterine, prednimustine, trofosfamide, uracil mustard; nitrosoureas such as carmustine, chlorurea (chlorozotocin) , Formustine (fotemustine), lomustine (lomustine), nimustine (nimustine) and ramustine (ranimnustine); antibiotics, such as enediyne antibiotics (for example, calicheamicin), Especially calicheamicin γll and calicheamicin γll (see, for example, Agnew, Chem. Intl. Ed Engl. 33:183-186 (1994)); dynemicin (dynemicin), including dynemicin A; double Phosphonates (bisphosphonates, such as clodronate; esperamicin; and new carcinogen chromophores and related chromophores enediyne antibiotic chromophores), Akra Aclacinomysin, actinomycin, authramycin, azaserine, bleomycin, cactinomycin, carabicin , Caminomycin, carzinophilin, chromomycinis, dactinomycin, daunorubicin, detorubicin, 6-heavy Nitrogen-5-oxo-L-ortho-leucine, ADRIAMYCIN® (doxorubicin, including morpholinyl-doxorubicin, cyanomorpholinyl-doxorubicin, 2- Pyrololinyl-doxorubicin and deoxydoxorubicin), epirubicin (epirubicin), esorubicin (esorubicin), idarubicin (idarubicin), marcellomycin (marcellomycin), silk Mitomycin (mitomycin) (such as mitomycin C), mycophenolic acid, nogalamycin, olivomycins, peplomycin, Pofiromycin (potfiromycin), puromycin (puromycin), tri-iron adriamycin (quelamycin), rhodoubicin (rodorubicin), streptomycin (streptonigrin), streptozocin (streptozocin), tuberculosis Tubercidin, ubenimex, zinostatin, zorubicin; antimetabolites, such as methotrexate (methostatin) trexate) and 5-fluorouracil (5-FU); folate analogs, such as denopterin, methotrexate, pteropterin, trimetrexate; purine analogs, such as fluda Labine (fludarabine), 6-mercaptopurine (6-mercaptopurine), thiamiprine (thiamiprine), thioguanine (thioguanine); pyrimidine analogs, such as ancitabine (ancitabine), azacitidine (azacitidine), 6-azauridine, carmofur, cytarabine, dideoxyuridine, doxifluridine, enocitabine ), floxuridine (floxuridine); androgens, such as calusterone, dromostanolone propionate, epithiostanol, mepitiostane, testosterone ( testolactone); anti-adrenal drugs, such as aminoglutethimide, mitotane, trilostane; folic acid supplements, such as frolinic acid; aceglatone ; Aldophosphamide glycoside; aminolevulinic acid; eniluracil; amsacrine; bestrabucil; bisantrene ; Edatraxate (edatraxate); Defofamine (defofamine); Demecolcine (demecolcine); Diaziquone (diaziquone); Elfomithine (elfomithine); Elliptinium acetate (elliptinium acetate); Epothilone; etoglucid; gallium nitrate; hydroxyurea; lentinan; lonidainine; maytansinoids, such as maytansine maytansine and ansamitocin; mitoguazone; mitoxantrone; mopid anmol); nitraerine; pentostatin; phenamet; pirarubicin; losoxantrone; podophyllinic acid ); 2-Ethylhydrazine; Procarbazine; PSK® Polysaccharide Complex (JHS Natural Products, Eugene, OR); Razoxane; Rhizoxin; Sizofuran ; Spirogermanium; tenuazonic acid; triaziquone; 2,2',2''-trichlorotriethylamine; trichothecenes ( Especially T-2 toxin, verracurin A, roridin A and anguidine; urethan; vindesine; dacarbazine (dacarbazine); mannomustine (mannomustine); dibromomannitol (mitobronitol); mitolactol (mitolactol); pipobroman (pipobroman); plus cytosine (gacytosine); arabinoside , "Ara-C");cyclophosphamide;thiotepa; taxoids, such as TAXOL® (paclitaxel; Bristol-Myers Squibb Oncology, Princeton, NJ), ABRAXANE® without cremophor The albumin engineered paclitaxel nanoparticle formulation (American Pharmaceutical Partners, Schaumberg, IL) and TAXOTERE® docetaxel (Rhone-Poulenc Rorer, Antony, France); chloranbucil; GEMZAR® gemcitabine; 6-thioguanine; mercaptopurine; methotrexate; platinum coordination complexes such as cisplatin, oxaliplatin and carboplatin; vinblastine; platinum; etoposide (etoposide, VP-16); ifosfamide; mitoxantrone; vincristine; NAVELBINE® vinorelbine; novantrone; tenipo side); edatrexate; daunomycin; aminopterin; xeloda; ibandronate; irinotecan ( For example, CPT-11); topoisomerase inhibitor RFS 2000; difluoromethyl]ornithine (DMFO); retinoids, such as retinoic acid; capecitabine; and any of the above A pharmaceutically acceptable salt, acid or derivative. Two or more chemotherapeutic agents may be used as a mixture to be administered in combination with the first therapeutic agent described herein. Suitable dosing regimens for combination chemotherapy are known in the art and are described in, for example, Saltz et al., Proc. Am. Soc. Clin. Oncol . 18:233a (1999), and Douillard et al., Lancet 355(9209):1041 -1047 (2000).

在一些實施例中,第二治療劑為DNA損傷劑(例如鉑基抗瘤劑、拓撲異構酶抑制劑、PARP抑制劑、烷基化抗瘤劑及電離輻射)。In some embodiments, the second therapeutic agent is a DNA damaging agent (eg, platinum-based antitumor agents, topoisomerase inhibitors, PARP inhibitors, alkylating antitumor agents, and ionizing radiation).

可用作本發明之組合物及方法中之第二治療劑的鉑基抗瘤劑之實例為順鉑、卡鉑、奧沙利鉑、雙環鉑(dicycloplatin)、依他鉑(eptaplatin)、洛鉑(lobaplatin)、米鉑(miriplatin)、奈達鉑(nedaplatin)、四硝酸三鉑(triplatin tetranitrate)、苯奈鉑(phenanthrilplatin)、吡鉑(picoplatin)及沙曲鉑(satraplatin)。在一些實施例中,第二治療劑為順鉑且所治療癌症為睪丸癌、卵巢癌或膀胱癌(例如晚期膀胱癌)。在一些實施例中,第二治療劑為卡鉑且所治療癌症為卵巢癌、肺癌、頭頸癌、腦癌或神經母細胞瘤。在一些實施例中,第二治療劑為奧沙利鉑且所治療癌症為結腸直腸癌。在一些實施例中,第二治療劑為雙環鉑且所治療癌症為非小細胞肺癌或前列腺癌。在一些實施例中,第二治療劑為依他鉑且所治療癌症為胃癌。在一些實施例中,第二治療劑為洛鉑且所治療癌症為乳癌。在一些實施例中,第二治療劑為米鉑且所治療癌症為肝細胞癌。在一些實施例中,第二治療劑為奈達鉑且所治療癌症為鼻咽癌、食道癌、鱗狀細胞癌或子宮頸癌。在一些實施例中,第二治療劑為四硝酸三鉑且所治療癌症為肺癌(例如小細胞肺癌)或胰臟癌。在一些實施例中,第二治療劑為吡鉑且所治療癌症為肺癌(例如小細胞肺癌)、前列腺癌、膀胱癌或結腸直腸癌。在一些實施例中,第二治療劑為沙曲鉑且所治療癌症為前列腺癌、乳癌或肺癌。Examples of platinum-based antitumor agents that can be used as the second therapeutic agent in the composition and method of the present invention are cisplatin, carboplatin, oxaliplatin, dicycloplatin, eptaplatin, and Platinum (lobaplatin), miriplatin, nedaplatin, triplatin tetranitrate, phenanthrilplatin, picoplatin, and satraplatin. In some embodiments, the second therapeutic agent is cisplatin and the cancer being treated is testicular cancer, ovarian cancer, or bladder cancer (eg, advanced bladder cancer). In some embodiments, the second therapeutic agent is carboplatin and the cancer being treated is ovarian cancer, lung cancer, head and neck cancer, brain cancer, or neuroblastoma. In some embodiments, the second therapeutic agent is oxaliplatin and the cancer treated is colorectal cancer. In some embodiments, the second therapeutic agent is bicycloplatin and the cancer treated is non-small cell lung cancer or prostate cancer. In some embodiments, the second therapeutic agent is etaplatin and the cancer being treated is gastric cancer. In some embodiments, the second therapeutic agent is lobaplatin and the cancer being treated is breast cancer. In some embodiments, the second therapeutic agent is miplatin and the cancer being treated is hepatocellular carcinoma. In some embodiments, the second therapeutic agent is nedaplatin and the cancer treated is nasopharyngeal cancer, esophageal cancer, squamous cell carcinoma, or cervical cancer. In some embodiments, the second therapeutic agent is triplatin tetranitrate and the cancer to be treated is lung cancer (eg, small cell lung cancer) or pancreatic cancer. In some embodiments, the second therapeutic agent is picoplatin and the cancer being treated is lung cancer (eg, small cell lung cancer), prostate cancer, bladder cancer, or colorectal cancer. In some embodiments, the second therapeutic agent is satroplatin and the cancer being treated is prostate cancer, breast cancer, or lung cancer.

可用作本發明之組合物及方法中之第二治療劑的拓撲異構酶抑制劑之實例為依託泊苷、替尼泊苷、多柔比星、道諾黴素、米托蒽醌、安吖啶、玫瑰樹鹼、伊立替康、拓撲替康、喜樹鹼及二氟替康(diflomotecan)。在一些實施例中,第二治療劑為依託泊苷且所治療癌症為肺癌(例如小細胞肺癌)或睪丸癌。在一些實施例中,第二治療劑為替尼泊苷且所治療癌症為急性淋巴母細胞性白血病(例如兒童急性淋巴母細胞性白血病)。在一些實施例中,第二治療劑為多柔比星且所治療癌症為急性淋巴母細胞性白血病、急性髓母細胞性白血病、霍奇金氏淋巴瘤、非霍奇金氏淋巴瘤、乳癌、威爾姆斯氏瘤、神經母細胞瘤、軟組織肉瘤、骨肉瘤、卵巢癌瘤、膀胱移行細胞癌、甲狀腺癌、胃癌或支氣管癌。在一些實施例中,第二治療劑為道諾黴素且所治療癌症為急性淋巴母細胞性白血病或急性骨髓性白血病。在一些實施例中,第二治療劑為米托蒽醌且所治療癌症為前列腺癌或急性非淋巴球性白血病。在一些實施例中,第二治療劑為安吖啶且所治療癌症為白血病(例如急性成人白血病)。在一些實施例中,第二治療劑為伊立替康且所治療癌症為結腸直腸癌。在一些實施例中,第二治療劑為拓撲替康且所治療癌症為肺癌(例如小細胞肺癌)。在一些實施例中,第二治療劑為二氟替康且所治療癌症為肺癌(例如小細胞肺癌)。Examples of topoisomerase inhibitors that can be used as the second therapeutic agent in the compositions and methods of the present invention are etoposide, teniposide, doxorubicin, daunorubicin, mitoxantrone, Amsacrine, ellipticine, irinotecan, topotecan, camptothecin and diflomotecan. In some embodiments, the second therapeutic agent is etoposide and the cancer treated is lung cancer (eg, small cell lung cancer) or testicular cancer. In some embodiments, the second therapeutic agent is teniposide and the cancer being treated is acute lymphoblastic leukemia (eg, childhood acute lymphoblastic leukemia). In some embodiments, the second therapeutic agent is doxorubicin and the cancer being treated is acute lymphoblastic leukemia, acute medulloblastic leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma, breast cancer , Wilmes’ tumor, neuroblastoma, soft tissue sarcoma, osteosarcoma, ovarian cancer, transitional cell carcinoma of the bladder, thyroid cancer, gastric cancer or bronchial cancer. In some embodiments, the second therapeutic agent is daunorubicin and the cancer being treated is acute lymphoblastic leukemia or acute myelogenous leukemia. In some embodiments, the second therapeutic agent is mitoxantrone and the cancer treated is prostate cancer or acute non-lymphocytic leukemia. In some embodiments, the second therapeutic agent is amsacrine and the cancer being treated is leukemia (e.g., acute adult leukemia). In some embodiments, the second therapeutic agent is irinotecan and the cancer treated is colorectal cancer. In some embodiments, the second therapeutic agent is topotecan and the cancer being treated is lung cancer (eg, small cell lung cancer). In some embodiments, the second therapeutic agent is diflutecan and the cancer being treated is lung cancer (eg, small cell lung cancer).

可用作本發明之組合物及方法中之第二治療劑的烷基化抗瘤劑之實例為環磷醯胺、尿嘧啶氮芥、美法侖、苯丁酸氮芥、異環磷醯胺、苯達莫司汀、卡莫司汀、洛莫司汀、氯脲菌素、福莫司汀、尼莫司汀、雷莫司汀、白消安、英丙舒凡、哌泊舒凡、萘氮芥、膽磷醯胺、雌氮芥、氮芥、氧化氮芥鹽酸鹽、新恩比興、苯芥膽甾醇、潑尼莫司汀、曲磷胺、丙卡巴肼、六甲蜜胺、達卡巴嗪、米托唑胺(mitozolomide)及替莫唑胺(temozolomide)。在一些實施例中,第二治療劑為環磷醯胺且所治療癌症為非霍奇金氏淋巴瘤。在一些實施例中,第二治療劑為美法侖且所治療癌症為多發性骨髓瘤、卵巢癌或黑色素瘤。在一些實施例中,第二治療劑為苯丁酸氮芥且所治療癌症為慢性淋巴球性白血病、惡性淋巴瘤(例如淋巴肉瘤、巨濾泡性淋巴瘤或霍奇金氏淋巴瘤)。在一些實施例中,第二治療劑為異環磷醯胺且所治療癌症為睪丸癌。在一些實施例中,第二治療劑為苯達莫司汀且所治療癌症為慢性淋巴球性白血病或非霍奇金氏淋巴瘤。在一些實施例中,第二治療劑為卡莫司汀且所治療癌症為腦癌(例如膠質母細胞瘤、腦幹神經膠質瘤、髓母細胞瘤、星細胞瘤、室管膜瘤或轉移性腦腫瘤)、多發性骨髓瘤、霍奇金氏病或非霍奇金氏淋巴瘤。在一些實施例中,第二治療劑為洛莫司汀且所治療癌症為腦癌或霍奇金氏淋巴瘤。在一些實施例中,第二治療劑為福莫司汀且所治療癌症為黑色素瘤。在一些實施例中,第二治療劑為尼莫司汀且所治療癌症為腦癌。在一些實施例中,第二治療劑為雷莫司汀且所治療癌症為慢性骨髓性白血病或真性紅血球增多症。在一些實施例中,第二治療劑為白消安且所治療癌症為慢性骨髓性白血病。在一些實施例中,第二治療劑為英丙舒凡且所治療癌症為肉瘤。在一些實施例中,第二治療劑為雌氮芥且所治療癌症為前列腺癌(例如前列腺癌)。在一些實施例中,第二治療劑為氮芥且所治療癌症為皮膚T細胞淋巴瘤。在一些實施例中,第二治療劑為曲磷胺且所治療癌症為肉瘤(例如軟組織肉瘤)。在一些實施例中,第二治療劑為丙卡巴肼且所治療癌症為霍奇金氏病。在一些實施例中,第二治療劑為六甲蜜胺且所治療癌症為卵巢癌。在一些實施例中,第二治療劑為達卡巴嗪且所治療癌症為黑色素瘤、霍奇金氏淋巴瘤或肉瘤。在一些實施例中,第二治療劑為替莫唑胺且所治療癌症為腦癌(例如星細胞瘤或膠質母細胞瘤)或肺癌(例如小細胞肺癌)。Examples of alkylated anti-tumor agents that can be used as the second therapeutic agent in the composition and method of the present invention are cyclophosphamide, uracil, melphalan, chlorambucil, and ifosine Amine, bendamustine, carmustine, lomustine, chlorurea, formustine, nimustine, ramustine, busulfan, improsufan, piposul Van, chlorambucil, cholephosphamide, estramustine, chlorambucil, nitric oxide mustard hydrochloride, new enbuxine, phenmustine cholesterol, prednimustine, trifosamine, procarbazine, hexamethyl Melamine, dacarbazine, mitozolomide and temozolomide. In some embodiments, the second therapeutic agent is cyclophosphamide and the cancer treated is non-Hodgkin's lymphoma. In some embodiments, the second therapeutic agent is melphalan and the cancer being treated is multiple myeloma, ovarian cancer, or melanoma. In some embodiments, the second therapeutic agent is chlorambucil and the cancer treated is chronic lymphocytic leukemia, malignant lymphoma (eg, lymphosarcoma, giant follicular lymphoma, or Hodgkin's lymphoma). In some embodiments, the second therapeutic agent is ifosfamide and the cancer treated is testicular cancer. In some embodiments, the second therapeutic agent is bendamustine and the cancer treated is chronic lymphocytic leukemia or non-Hodgkin's lymphoma. In some embodiments, the second therapeutic agent is carmustine and the cancer being treated is brain cancer (e.g., glioblastoma, brainstem glioma, medulloblastoma, astrocytoma, ependymoma, or metastasis Brain tumors), multiple myeloma, Hodgkin’s disease or non-Hodgkin’s lymphoma. In some embodiments, the second therapeutic agent is lomustine and the cancer treated is brain cancer or Hodgkin's lymphoma. In some embodiments, the second therapeutic agent is formustine and the cancer being treated is melanoma. In some embodiments, the second therapeutic agent is nimustine and the cancer being treated is brain cancer. In some embodiments, the second therapeutic agent is ramustine and the cancer being treated is chronic myelogenous leukemia or polycythemia vera. In some embodiments, the second therapeutic agent is busulfan and the cancer being treated is chronic myelogenous leukemia. In some embodiments, the second therapeutic agent is Inprofen and the cancer being treated is sarcoma. In some embodiments, the second therapeutic agent is estramustine and the cancer being treated is prostate cancer (e.g., prostate cancer). In some embodiments, the second therapeutic agent is nitrogen mustard and the cancer treated is cutaneous T-cell lymphoma. In some embodiments, the second therapeutic agent is trifosamide and the cancer being treated is a sarcoma (eg, soft tissue sarcoma). In some embodiments, the second therapeutic agent is procarbazine and the cancer being treated is Hodgkin's disease. In some embodiments, the second therapeutic agent is hexamethylmelamine and the cancer being treated is ovarian cancer. In some embodiments, the second therapeutic agent is dacarbazine and the cancer being treated is melanoma, Hodgkin's lymphoma, or sarcoma. In some embodiments, the second therapeutic agent is temozolomide and the cancer being treated is brain cancer (such as astrocytoma or glioblastoma) or lung cancer (such as small cell lung cancer).

可用作本發明之組合物及方法中之第二治療劑的PARP抑制劑之實例為尼拉帕尼(niraparib)、奧拉帕尼(olaparib)、盧卡帕尼(rucaparib)、他他拉唑帕尼(talazoparib)、維利帕尼(veliparib)、帕米帕利(pamiparib)、CK-102或E7016。有利地,本發明之化合物及DNA損傷劑可協同用以治療癌症。在一些實施例中,第二治療劑為尼拉帕尼且所治療癌症為卵巢癌(例如BRCA突變之卵巢癌)、輸卵管癌(例如BRCA突變之輸卵管癌)或原發性腹膜癌(例如BRCA突變之原發性腹膜癌)。在一些實施例中,第二治療劑為奧拉帕尼且所治療癌症為肺癌(例如小細胞肺癌)、卵巢癌(例如BRCA突變之卵巢癌)、乳癌(例如BRCA突變之乳癌)、輸卵管癌(例如BRCA突變之輸卵管癌)、原發性腹膜癌(例如BRCA突變之原發性腹膜癌)、前列腺癌(例如抗去勢性前列腺癌)或胰臟癌(例如胰腺癌)。在一些實施例中,第二治療劑為盧卡帕尼且所治療癌症為卵巢癌(例如BRCA突變之卵巢癌)、輸卵管癌(例如BRCA突變之輸卵管癌)或原發性腹膜癌(例如BRCA突變之原發性腹膜癌)。在一些實施例中,第二治療劑為他拉唑帕尼且所治療癌症為乳癌(例如BRCA突變之乳癌)。在一些實施例中,第二治療劑為維利帕尼且所治療癌症為肺癌(例如非小細胞肺癌)、黑色素瘤、乳癌、卵巢癌、前列腺癌或腦癌。在一些實施例中,第二治療劑為帕米帕利且所治療癌症為卵巢癌。在一些實施例中,第二治療劑為CK-102且所治療癌症為肺癌(例如非小細胞肺癌)。在一些實施例中,第二治療劑為E7016且所治療癌症為黑色素瘤。Examples of PARP inhibitors that can be used as the second therapeutic agent in the composition and method of the present invention are niraparib, olaparib, rucaparib, and tatarab Talazoparib, veliparib, pamiparib, CK-102 or E7016. Advantageously, the compound of the present invention and the DNA damaging agent can be used synergistically to treat cancer. In some embodiments, the second therapeutic agent is niraparib and the cancer to be treated is ovarian cancer (e.g., BRCA-mutated ovarian cancer), fallopian tube cancer (e.g., BRCA-mutated fallopian tube cancer), or primary peritoneal cancer (e.g., BRCA Mutation of primary peritoneal cancer). In some embodiments, the second therapeutic agent is olaparib and the cancer to be treated is lung cancer (e.g., small cell lung cancer), ovarian cancer (e.g., BRCA-mutated ovarian cancer), breast cancer (e.g., BRCA-mutated breast cancer), fallopian tube cancer (Such as BRCA mutant fallopian tube cancer), primary peritoneal cancer (such as BRCA mutant primary peritoneal cancer), prostate cancer (such as castration resistant prostate cancer) or pancreatic cancer (such as pancreatic cancer). In some embodiments, the second therapeutic agent is lukapanib and the cancer to be treated is ovarian cancer (e.g., BRCA-mutated ovarian cancer), fallopian tube cancer (e.g., BRCA-mutated fallopian tube cancer), or primary peritoneal cancer (e.g., BRCA Mutation of primary peritoneal cancer). In some embodiments, the second therapeutic agent is Tarazopanib and the cancer being treated is breast cancer (eg, BRCA-mutated breast cancer). In some embodiments, the second therapeutic agent is velipanib and the cancer being treated is lung cancer (e.g., non-small cell lung cancer), melanoma, breast cancer, ovarian cancer, prostate cancer, or brain cancer. In some embodiments, the second therapeutic agent is pamidril and the cancer being treated is ovarian cancer. In some embodiments, the second therapeutic agent is CK-102 and the cancer treated is lung cancer (eg, non-small cell lung cancer). In some embodiments, the second therapeutic agent is E7016 and the cancer being treated is melanoma.

不希望受理論束縛,本發明之化合物與DNA損傷劑之間的協同作用可歸因於DNA修復之BRD9必要性;BRD9之抑制可使癌症(例如癌細胞或癌組織)對DNA損傷劑敏感。Without wishing to be bound by theory, the synergy between the compound of the present invention and the DNA damaging agent can be attributed to the necessity of BRD9 for DNA repair; BRD9 inhibition can make cancer (such as cancer cells or tissues) sensitive to the DNA damaging agent.

在一些實施例中,第二治療劑為JAK抑制劑(例如JAK1抑制劑)。可用作本發明之組合物及方法中之第二治療劑的JAK抑制劑之非限制性實例包括托法替尼(tofacitinib)、盧梭替尼(ruxolitinib)、奧拉替尼(oclacitinib)、巴瑞替尼(baricitinib)、培非替尼(peficitinib)、非德替尼(fedratinib)、烏帕替尼(upadacitinib)、菲格替尼(filgotinib)、賽度替尼(cerdulatinib)、甘多替尼(gandotinib)、來他替尼(lestaurtinib)、莫洛替尼(momelotinib)、派克替尼(pacritinib)、阿布羅替尼(abrocitinib)、索西替尼(solcitinib)、伊他替尼(itacitinib)或SHR0302。不希望受理論束縛,本發明之化合物與JAK抑制劑之間的協同作用可因其下調Foxp3+ Treg細胞之組合效應而為SAGA複合物之抑制劑。在一些實施例中,第二治療劑為盧梭替尼且所治療癌症為骨髓增生性贅生物(例如紅細胞增多症或骨髓纖維化)、卵巢癌、乳癌、胰臟癌。在一些實施例中,第二治療劑為非德替尼且所治療癌症為骨髓增生性贅生物(例如骨髓纖維化)。在一些實施例中,第二治療劑為賽度替尼且所治療癌症為淋巴瘤(例如外周T細胞淋巴瘤)。在一些實施例中,第二治療劑為甘多替尼且所治療癌症為骨髓增生性贅生物(例如紅細胞增多症或骨髓纖維化)。在一些實施例中,第二治療劑為來他替尼且所治療癌症為骨髓增生性贅生物(例如紅細胞增多症或骨髓纖維化)、白血病(例如急性骨髓性白血病)、胰臟癌、前列腺癌或神經母細胞瘤。在一些實施例中,第二治療劑為莫洛替尼且所治療癌症為骨髓增生性贅生物(例如紅細胞增多症或骨髓纖維化)或胰臟癌(例如胰臟導管腺癌)。在一些實施例中,第二治療劑為莫洛替尼且所治療癌症為骨髓增生性贅生物(例如紅細胞增多症或骨髓纖維化)。在一些實施例中,第二治療劑為莫洛替尼且所治療癌症為骨髓增生性贅生物(例如紅細胞增多症或骨髓纖維化)或胰臟癌(例如胰臟導管腺癌)。In some embodiments, the second therapeutic agent is a JAK inhibitor (e.g., a JAK1 inhibitor). Non-limiting examples of JAK inhibitors that can be used as the second therapeutic agent in the compositions and methods of the present invention include tofacitinib, ruxolitinib, oclacitinib, and Baricitinib, Peficitinib, Fedratinib, Upadacitinib, Filgotinib, Cerdulatinib, Gandotin Gandotinib, lestatinib, momelotinib, pacritinib, abrocitinib, solcitinib, itacitinib ) Or SHR0302. Without wishing to be bound by theory, the synergy between the compound of the present invention and JAK inhibitor can be an inhibitor of SAGA complex due to its combined effect of down-regulating Foxp3+ Treg cells. In some embodiments, the second therapeutic agent is Rousotinib and the cancer to be treated is a myeloproliferative neoplasm (such as polycythemia or myelofibrosis), ovarian cancer, breast cancer, pancreatic cancer. In some embodiments, the second therapeutic agent is fidetinib and the cancer being treated is a myeloproliferative neoplasm (eg, myelofibrosis). In some embodiments, the second therapeutic agent is sedutinib and the cancer being treated is lymphoma (e.g., peripheral T cell lymphoma). In some embodiments, the second therapeutic agent is gandotinib and the cancer being treated is a myeloproliferative neoplasm (e.g., polycythemia or myelofibrosis). In some embodiments, the second therapeutic agent is letatinib and the cancer to be treated is a myeloproliferative neoplasm (e.g. polycythemia or myelofibrosis), leukemia (e.g. acute myelogenous leukemia), pancreatic cancer, prostate Carcinoma or neuroblastoma. In some embodiments, the second therapeutic agent is molotinib and the cancer treated is a myeloproliferative neoplasm (e.g., polycythemia or myelofibrosis) or pancreatic cancer (e.g., pancreatic ductal adenocarcinoma). In some embodiments, the second therapeutic agent is molotinib and the cancer being treated is a myeloproliferative neoplasm (e.g., polycythemia or myelofibrosis). In some embodiments, the second therapeutic agent is molotinib and the cancer treated is a myeloproliferative neoplasm (e.g., polycythemia or myelofibrosis) or pancreatic cancer (e.g., pancreatic ductal adenocarcinoma).

在一些實施例中,第二治療劑為SAGA複合物或其組分之抑制劑。SAGA複合物抑制劑可為例如CCDC101、Tada2B、Tada3、Usp22、Tada1、Taf6l、Supt5、Supt20或其組合之抑制抗體或小分子抑制劑。不希望受理論束縛,本發明之化合物與SAGA複合物之抑制劑之間的協同作用可歸因於其下調Foxp3+ Treg細胞之組合效應。在一些實施例中,第二治療劑為作為用於癌症治療之生物製劑,諸如細胞介素(例如干擾素或介白素(例如IL-2))的治療劑。在一些實施方案中,生物製劑為抗血管生成劑,諸如抗VEGF劑,例如貝伐珠單抗(bevacizumab,AVASTIN®)。在一些實施方案中,生物製劑為對標靶有促效作用以刺激抗癌反應或拮抗對癌症有重要意義之抗原的基於免疫球蛋白之生物製劑,例如單株抗體(例如人類化抗體、完全人類抗體、Fc融合蛋白或其功能片段)。此類藥劑包括RITUXAN® (利妥昔單抗(rituximab));ZENAPAX® (達利珠單抗(daclizumab));SIMULECT® (巴厘昔單抗(basiliximab));SYNAGIS® (帕利珠單抗(palivizumab));REMICADE® (英夫利昔單抗(infliximab));HERCEPTIN® (曲妥珠單抗(trastuzumab));MYLOTARG® (吉奧單抗(gemtuzumab ozogamicin));CAMPATH® (阿侖單抗(alemtuzumab));ZEVALIN® (替伊莫單抗(ibritumomab tiuxetan));HUMIRA® (阿達木單抗(adalimumab));XOLAIR® (奧馬珠單抗(omalizumab));BEXXAR® (托西莫單抗-I-131 (tositumomab-I-131));RAPTIVA® (依法珠單抗(efalizumab));ERBITUX® (西妥昔單抗(cetuximab));AVASTIN® (貝伐珠單抗);TYSABRI® (那他珠單抗(natalizumab));ACTEMRA® (托珠單抗(tocilizumab));VECTIBIX® (帕尼單抗(panitumumab));LUCENTIS® (蘭尼單抗(ranibizumab));SOLIRIS® (依庫珠單抗(eculizumab));CIMZIA® (聚乙二醇結合之賽妥珠單抗(certolizumab pegol));SIMPONI® (戈利木單抗(golimumab));ILARIS® (卡那津單抗(canakinumab));STELARA® (優特克單抗(ustekinumab));ARZERRA® (奧法木單抗(ofatumumab));PROLIA® (地諾單抗(denosumab));NUMAX® (莫維珠單抗(motavizumab));ABTHRAX® (瑞西巴庫單抗(raxibacumab));BENLYSTA® (貝利單抗(belimumab));YERVOY® (伊匹單抗(ipilimumab));ADCETRIS® (維布妥昔單抗(brentuximab vedotin));PERJETA® (帕妥珠單抗(pertuzumab));KADCYLA® (美坦辛曲妥珠單抗(ado-trastuzumab emtansine));及GAZYVA® (阿托珠單抗(obinutuzumab))。亦包括抗體藥物結合物。In some embodiments, the second therapeutic agent is an inhibitor of the SAGA complex or its components. The SAGA complex inhibitor can be, for example, CCDC101, Tada2B, Tada3, Usp22, Tada1, Taf6l, Supt5, Supt20, or a combination of inhibitory antibodies or small molecule inhibitors. Without wishing to be bound by theory, the synergy between the compound of the present invention and the inhibitor of the SAGA complex can be attributed to its combined effect of down-regulating Foxp3+ Treg cells. In some embodiments, the second therapeutic agent is a therapeutic agent used as a biological agent for cancer treatment, such as a cytokine (e.g., interferon or interleukin (e.g., IL-2)). In some embodiments, the biological agent is an anti-angiogenic agent, such as an anti-VEGF agent, for example, bevacizumab (AVASTIN®). In some embodiments, the biological agent is an immunoglobulin-based biological agent that has a stimulating effect on the target to stimulate an anti-cancer response or antagonize an antigen important to cancer, such as a monoclonal antibody (e.g., a humanized antibody, a complete Human antibodies, Fc fusion proteins or functional fragments thereof). Such agents include RITUXAN® (rituximab); ZENAPAX® (daclizumab); SIMULECT® (basiliximab); SYNAGIS® (palivizumab ( palivizumab); REMICADE® (infliximab); HERCEPTIN® (trastuzumab); MYLOTARG® (gemtuzumab ozogamicin); CAMPATH® (alenduzumab) (alemtuzumab); ZEVALIN® (ibritumomab tiuxetan); HUMIRA® (adalimumab); XOLAIR® (omalizumab); BEXXAR® (tositumomab) Anti-I-131 (tositumomab-I-131)); RAPTIVA® (efalizumab); ERBITUX® (cetuximab); AVASTIN® (bevacizumab); TYSABRI ® (natalizumab); ACTEMRA® (tocilizumab); VECTIBIX® (panitumumab); LUCENTIS® (ranibizumab); SOLIRIS® (Eculizumab); CIMZIA® (polyethylene glycol-conjugated certolizumab pegol); SIMPONI® (golimumab); ILARIS® (canakizumab) Anti (canakinumab); STELARA® (ustekinumab); ARZERRA® (ofatumumab); PROLIA® (denosumab); NUMAX® (Movizumab) Monoclonal antibody (motavizumab); ABTHRAX® (raxibacumab); BENLYSTA® (belimumab); YERVOY® (ipilimumab); ADCETRIS® (Weib Tuximab (brentuximab vedotin); PERJETA® (pertuzumab); KADCYLA® (maytansin trastuzumab) Anti-(ado-trastuzumab emtansine); and GAZYVA® (obinutuzumab). Also includes antibody-drug conjugates.

第二藥劑可為作為非藥物治療之治療劑。舉例而言,第二治療劑為放射療法、冷凍療法、體溫過高及/或腫瘤組織之手術切除。The second agent may be a therapeutic agent as a non-drug treatment. For example, the second therapeutic agent is radiotherapy, cryotherapy, hyperthermia, and/or surgical resection of tumor tissue.

第二藥劑可為檢查點抑制劑。在一個實施例中,檢查點抑制劑為抑制抗體(例如單特異性抗體,諸如單株抗體)。抗體可為例如人類化或完全人類抗體。在一些實施例中,檢查點抑制劑為融合蛋白,例如Fc受體融合蛋白。在一些實施例中,檢查點抑制劑為與檢查點蛋白相互作用之藥劑,諸如抗體。在一些實施例中,檢查點抑制劑為與檢查點蛋白之配位體相互作用之藥劑,諸如抗體。在一些實施例中,檢查點抑制劑為CTLA-4抑制劑(例如抑制抗體或小分子抑制劑) (例如抗CTLA4抗體或融合蛋白,諸如伊匹單抗/YERVOY®或曲美目單抗)。在一些實施例中,檢查點抑制劑為PD-1抑制劑(例如抑制抗體或小分子抑制劑) (例如納武單抗/OPDIVO®;派姆單抗/KEYTRUDA®;匹利珠單抗/CT-011)。在一些實施例中,檢查點抑制劑為PDL1抑制劑(例如抑制抗體或小分子抑制劑) (例如MPDL3280A/RG7446;MEDI4736;MSB0010718C;BMS 936559)。在一些實施例中,檢查點抑制劑為PDL2抑制劑(例如抑制抗體或Fc融合物或小分子抑制劑) (例如PDL2/Ig融合蛋白,諸如AMP 224)。在一些實施例中,檢查點抑制劑為B7-H3 (例如MGA271)、B7-H4、BTLA、HVEM、TIM3、GAL9、LAG3、VISTA、KIR、2B4、CD160、CGEN-15049、CHK 1、CHK2、A2aR、B-7家族配位體或其組合之抑制劑(例如抑制抗體或小分子抑制劑)。在一些實施例中,第二治療劑為伊匹單抗且所治療癌症為黑色素瘤、腎癌、肺癌(例如非小細胞肺癌或小細胞肺癌)或前列腺癌。在一些實施例中,第二治療劑為曲美目單抗且所治療癌症為黑色素瘤、間皮瘤或肺癌(例如非小細胞肺癌)。在一些實施例中,第二治療劑為納武單抗且所治療癌症為黑色素瘤、肺癌(例如非小細胞肺癌或小細胞肺癌)、腎癌、霍奇金氏淋巴瘤、頭頸癌(例如頭頸部鱗狀細胞癌)、尿路上皮癌、肝細胞癌或結腸直腸癌。在一些實施例中,第二治療劑為派姆單抗且所治療癌症為黑色素瘤、肺癌(例如非小細胞肺癌或小細胞肺癌)、霍奇金氏淋巴瘤、頭頸癌(例如頭頸部鱗狀細胞癌)、原發性縱隔大B細胞淋巴瘤、尿路上皮癌、肝細胞癌、高微衛星不穩定性癌、胃癌、食道癌、子宮頸癌、默克爾細胞癌(Merkel cell carcinoma)、腎癌或子宮內膜癌。在一些實施例中,第二治療劑為MPDL3280A且所治療癌症為肺癌(例如非小細胞肺癌或小細胞肺癌)、尿路上皮癌、肝細胞癌或乳癌。在一些實施例中,第二治療劑為MEDI4736且所治療癌症為肺癌(例如非小細胞肺癌或小細胞肺癌)或尿路上皮癌。在一些實施例中,第二治療劑為MSB0010718C且所治療癌症為尿路上皮癌。在一些實施例中,第二治療劑為MSB0010718C且所治療癌症為黑色素瘤、肺癌(例如非小細胞肺癌)、結腸直腸癌、腎臟癌、卵巢癌、胰臟癌、胃癌及乳癌。The second agent may be a checkpoint inhibitor. In one embodiment, the checkpoint inhibitor is an inhibitory antibody (e.g., a monospecific antibody, such as a monoclonal antibody). The antibody can be, for example, a humanized or fully human antibody. In some embodiments, the checkpoint inhibitor is a fusion protein, such as an Fc receptor fusion protein. In some embodiments, checkpoint inhibitors are agents that interact with checkpoint proteins, such as antibodies. In some embodiments, checkpoint inhibitors are agents that interact with ligands of checkpoint proteins, such as antibodies. In some embodiments, the checkpoint inhibitor is a CTLA-4 inhibitor (e.g., an inhibitory antibody or a small molecule inhibitor) (e.g., an anti-CTLA4 antibody or fusion protein, such as ipilimumab/YERVOY® or tremelimumab) . In some embodiments, the checkpoint inhibitor is a PD-1 inhibitor (e.g., inhibitory antibody or small molecule inhibitor) (e.g. nivolumab/OPDIVO®; pembrolizumab/KEYTRUDA®; pilivizumab/ CT-011). In some embodiments, the checkpoint inhibitor is a PDL1 inhibitor (e.g., inhibitory antibody or small molecule inhibitor) (e.g., MPDL3280A/RG7446; MEDI4736; MSB0010718C; BMS 936559). In some embodiments, the checkpoint inhibitor is a PDL2 inhibitor (e.g., inhibitory antibody or Fc fusion or small molecule inhibitor) (e.g., PDL2/Ig fusion protein, such as AMP 224). In some embodiments, the checkpoint inhibitor is B7-H3 (e.g. MGA271), B7-H4, BTLA, HVEM, TIM3, GAL9, LAG3, VISTA, KIR, 2B4, CD160, CGEN-15049, CHK 1, CHK2, Inhibitors of A2aR, B-7 family ligands or combinations thereof (for example, inhibitory antibodies or small molecule inhibitors). In some embodiments, the second therapeutic agent is ipilimumab and the cancer to be treated is melanoma, kidney cancer, lung cancer (eg, non-small cell lung cancer or small cell lung cancer), or prostate cancer. In some embodiments, the second therapeutic agent is tremelizumab and the cancer being treated is melanoma, mesothelioma, or lung cancer (e.g., non-small cell lung cancer). In some embodiments, the second therapeutic agent is nivolumab and the cancer treated is melanoma, lung cancer (e.g. non-small cell lung cancer or small cell lung cancer), kidney cancer, Hodgkin’s lymphoma, head and neck cancer (e.g. Squamous cell carcinoma of the head and neck), urothelial carcinoma, hepatocellular carcinoma or colorectal cancer. In some embodiments, the second therapeutic agent is pembrolizumab and the cancer to be treated is melanoma, lung cancer (such as non-small cell lung cancer or small cell lung cancer), Hodgkin’s lymphoma, head and neck cancer (such as head and neck squamous cell Cell carcinoma), primary mediastinal large B-cell lymphoma, urothelial carcinoma, hepatocellular carcinoma, high microsatellite instability cancer, gastric cancer, esophageal cancer, cervical cancer, Merkel cell carcinoma (Merkel cell carcinoma) , Kidney cancer or endometrial cancer. In some embodiments, the second therapeutic agent is MPDL3280A and the cancer to be treated is lung cancer (eg, non-small cell lung cancer or small cell lung cancer), urothelial cancer, hepatocellular carcinoma, or breast cancer. In some embodiments, the second therapeutic agent is MEDI4736 and the cancer to be treated is lung cancer (eg, non-small cell lung cancer or small cell lung cancer) or urothelial cancer. In some embodiments, the second therapeutic agent is MSB0010718C and the cancer treated is urothelial carcinoma. In some embodiments, the second therapeutic agent is MSB0010718C and the cancer to be treated is melanoma, lung cancer (such as non-small cell lung cancer), colorectal cancer, kidney cancer, ovarian cancer, pancreatic cancer, gastric cancer, and breast cancer.

有利地,本發明之化合物及檢查點抑制劑可協同用以治療癌症。不希望受理論束縛,本發明之化合物與檢查點抑制劑之間的協同作用可歸因於與BRD9抑制誘導之Foxp3+ Treg細胞下調相關的檢查點抑制劑功效增強。Advantageously, the compounds of the present invention and checkpoint inhibitors can be used synergistically to treat cancer. Without wishing to be bound by theory, the synergy between the compound of the present invention and the checkpoint inhibitor can be attributed to the enhanced efficacy of the checkpoint inhibitor related to the down-regulation of Foxp3+ Treg cells induced by BRD9 inhibition.

在一些實施例中,抗癌療法為T細胞過繼轉移(ACT)療法。在一些實施例中,T細胞為活化T細胞。T細胞可經修飾以表現嵌合抗原受體(CAR)。經CAR修飾之T (CAR-T)細胞可藉由所屬領域中已知之任何方法產生。舉例而言,CAR-T細胞可藉由將編碼CAR之合適表現載體引入至T細胞中來產生。在T細胞擴增及基因修飾之前,自個體獲得T細胞來源。可自許多來源獲得T細胞,包括外周血單核細胞、骨髓、淋巴結組織、臍帶血、胸腺組織、來自感染部位之組織、腹水、胸腔積液、脾組織及腫瘤。在本發明之某些實施例中,可使用所屬領域中可利用之許多T細胞株。在一些實施例中,T細胞為自體同源T細胞。無論在T細胞進行基因修飾以表現理想蛋白質(例如CAR)之前還是之後,一般可使用如例如以下中所述之方法活化及擴增T細胞:美國專利6,352,694;6,534,055;6,905,680;6,692,964;5,858,358;6,887,466;6,905,681;7,144,575;7,067,318;7,172,869;7,232,566;7,175,843;5,883,223;6,905,874;6,797,514;6,867,041;及美國專利申請公開案第20060121005號。In some embodiments, the anti-cancer therapy is T cell adoptive transfer (ACT) therapy. In some embodiments, the T cell is an activated T cell. T cells can be modified to express chimeric antigen receptors (CAR). CAR-modified T (CAR-T) cells can be produced by any method known in the art. For example, CAR-T cells can be produced by introducing a suitable expression vector encoding CAR into T cells. Before T cell expansion and genetic modification, a source of T cells is obtained from the individual. T cells can be obtained from many sources, including peripheral blood mononuclear cells, bone marrow, lymph node tissue, umbilical cord blood, thymus tissue, tissue from the site of infection, ascites, pleural effusion, spleen tissue, and tumors. In certain embodiments of the present invention, many T cell strains available in the art can be used. In some embodiments, the T cell is an autologous T cell. Whether before or after T cells are genetically modified to express a desired protein (such as CAR), T cells can generally be activated and expanded using methods such as those described in the following: U.S. Patent Nos. 6,352,694; 6,534,055; 6,905,680; 6,692,964; 5,858,358; 6,887,466 6,905,681; 7,144,575; 7,067,318; 7,172,869; 7,232,566; 7,175,843; 5,883,223; 6,905,874; 6,797,514; 6,867,041; and US Patent Application Publication No. 20060121005.

在本文所述之組合實施例中之任一者中,第一及第二治療劑同時或以任一次序相繼投與。第一治療劑可在第二治療劑之前或之後長達1小時、長達2小時、長達3小時、長達4小時、長達5小時、長達6小時、長達7小時、長達8小時、長達9小時、長達10小時、長達11小時、長達12小時、長達13小時、14小時、長達16小時、長達17小時、長達18小時、長達19小時、長達20小時、長達21小時、長達22小時、長達23小時、長達24小時或長達1-7天、1-14天、1-21天或1-30天即刻投與。醫藥組合物 In any of the combination embodiments described herein, the first and second therapeutic agents are administered simultaneously or sequentially in either order. The first therapeutic agent can be up to 1 hour before or after the second therapeutic agent, up to 2 hours, up to 3 hours, up to 4 hours, up to 5 hours, up to 6 hours, up to 7 hours, up to 8 hours, up to 9 hours, up to 10 hours, up to 11 hours, up to 12 hours, up to 13 hours, 14 hours, up to 16 hours, up to 17 hours, up to 18 hours, up to 19 hours , Up to 20 hours, up to 21 hours, up to 22 hours, up to 23 hours, up to 24 hours or up to 1-7 days, 1-14 days, 1-21 days or 1-30 days for immediate administration . Pharmaceutical composition

本文所述之醫藥組合物較佳配製成呈適合於活體內投與之生物學上相容形式的醫藥組合物用於投與人類個體。The pharmaceutical composition described herein is preferably formulated as a pharmaceutical composition in a biologically compatible form suitable for in vivo administration for administration to a human individual.

本文所述之化合物可呈游離鹼、呈鹽、溶劑合物形式及呈前藥使用。所有形式均在本文所述之方法內。根據本發明之方法,如所屬領域之技術人員所瞭解,所述化合物或其鹽、溶劑合物或前藥可呈多種形式投與患者,視所選投藥途徑而定。本文所述之化合物可例如藉由經口、非經腸、經頰、舌下、經鼻、經直腸、貼片、泵、腫瘤內或經皮投與來投與,且醫藥組合物相應地調配。非經腸投與包括靜脈內、腹膜內、皮下、肌肉內、經上皮、經鼻、肺內、鞘內、經直腸及表面投與模式。非經腸投與可藉由在所選時間段內連續輸注進行。The compounds described herein can be used as free bases, as salts, solvates, and as prodrugs. All forms are within the methods described herein. According to the method of the present invention, as understood by those skilled in the art, the compound or its salt, solvate or prodrug can be administered to the patient in various forms, depending on the chosen route of administration. The compounds described herein can be administered, for example, by oral, parenteral, buccal, sublingual, nasal, transrectal, patch, pump, intratumoral or transdermal administration, and the pharmaceutical composition accordingly Deployment. Parenteral administration includes intravenous, intraperitoneal, subcutaneous, intramuscular, transepithelial, transnasal, intrapulmonary, intrathecal, transrectal, and surface administration modes. Parenteral administration can be performed by continuous infusion over a selected period of time.

本文所述之化合物可例如利用惰性稀釋劑或利用可吸收之可食用載劑經口投與,或其可裝入硬殼或軟殼明膠膠囊中,或其可壓縮成錠劑,或其可直接與食品合併。對於經口治療性投與而言,本文所述之化合物可與賦形劑合併,且呈可攝取之錠劑、口頰錠、糖衣錠、膠囊、酏劑、懸浮液、糖漿及糯米紙形式使用。本文所述之化合物亦可非經腸投與。本文所述之化合物之溶液可在適合與介面活性劑(諸如羥丙基纖維素)混合之水中製備。分散液亦可在丙三醇、液體聚乙二醇、DMSO及其混合物中在有或者沒有醇下以及油中製備。在正常儲存及使用條件下,此等製劑可含有防止微生物生長之防腐劑。用於選擇及製備合適調配物之習知程式及成分描述於例如Remington's Pharmaceutical Sciences (2012, 第22版)及The United States Pharmacopeia: The National Formulary (USP 41 NF36), 2018年出版。適合於可注射使用之醫藥形式包括無菌水溶液或分散液及臨用時製備無菌可注射溶液或分散液之無菌粉劑。在所有情況下,形式必須無菌且必須為流體,達到容易經由注射器投與之程度。用於經鼻投與之組合物宜調配成氣溶膠、滴劑、凝膠及粉劑。氣溶膠調配物通常包括活性物質於生理學上可接受之水性或非水溶劑中的溶液或微懸浮液,且通常呈無菌形式以單劑或多劑之量呈現於密封容器中,該密封容器可採取藥筒或再裝品的形式供霧化裝置使用。可替代地,密封容器可為一體式噴散裝置,諸如單劑量經鼻吸入器或裝有意欲使用後拋棄之計量閥之氣溶膠噴散器。在劑型包括氣溶膠噴散器之情況下,其將含有推進劑,推進劑可為壓縮氣體,諸如壓縮空氣或有機推進劑,諸如氟氯烴。氣溶膠劑型亦可採取泵式噴霧器的形式。適合於經頰或舌下投與之組合物包括錠劑、口含錠及軟錠劑,其中活性成分與諸如糖、阿拉伯膠、黃芪膠、明膠及甘油之載劑一起調配。用於直腸投與之組合物宜呈含有習知栓劑鹼、諸如可可脂之栓劑形式。本文所述之化合物可經腫瘤內,例如呈腫瘤內注射物投與。腫瘤內注射直接注射至腫瘤血管中,且具體設想用於離散、實體、易接近之腫瘤。局部、區域或全身性投與亦可為適當的。本文所述之化合物宜藉由投與注射物或多個注射物至腫瘤,例如相隔大約1 cm時間間隔來接觸。在外科手術情況下,本發明可在手術前使用,以便使不宜手術之腫瘤進行切除術。適當時,亦可例如藉由將導管植入腫瘤中或腫瘤血管中來連續投與。The compounds described herein can be administered orally, for example, using an inert diluent or an absorbable edible carrier, or they can be enclosed in hard or soft shell gelatin capsules, or they can be compressed into tablets, or they can be Directly merge with food. For oral therapeutic administration, the compounds described herein can be combined with excipients and used in the form of ingestible lozenges, buccal lozenges, dragees, capsules, elixirs, suspensions, syrups, and wafers . The compounds described herein can also be administered parenterally. Solutions of the compounds described herein can be prepared in water suitable for mixing with a surfactant such as hydroxypropyl cellulose. Dispersions can also be prepared in glycerol, liquid polyethylene glycol, DMSO and mixtures thereof with or without alcohol and in oil. Under normal storage and use conditions, these preparations may contain preservatives to prevent the growth of microorganisms. The conventional procedures and ingredients for selecting and preparing suitable formulations are described in, for example, Remington's Pharmaceutical Sciences (2012, 22nd edition) and The United States Pharmacopeia: The National Formulary (USP 41 NF36), published in 2018. Pharmaceutical forms suitable for injectable use include sterile aqueous solutions or dispersions and sterile powders for preparing sterile injectable solutions or dispersions for temporary use. In all cases, the form must be sterile and fluid, so that it can be easily administered via a syringe. The composition for nasal administration should be formulated into aerosols, drops, gels and powders. Aerosol formulations usually include a solution or microsuspension of the active substance in a physiologically acceptable aqueous or non-aqueous solvent, and are usually presented in a sterile form in single or multiple doses in a sealed container, the sealed container It can be used in the form of a cartridge or a refill product for the atomization device. Alternatively, the sealed container may be an integrated spray device, such as a single-dose transnasal inhaler or an aerosol sprayer equipped with a metering valve that is intended to be discarded after use. Where the dosage form includes an aerosol dispenser, it will contain a propellant, which may be a compressed gas, such as compressed air, or an organic propellant, such as chlorofluorocarbons. The aerosol dosage form can also take the form of a pump sprayer. Compositions suitable for buccal or sublingual administration include lozenges, lozenges and pastilles, in which the active ingredients are formulated with carriers such as sugar, acacia, tragacanth, gelatin and glycerin. The composition for rectal administration is preferably in the form of a suppository containing a conventional suppository base, such as cocoa butter. The compounds described herein can be administered intratumorally, for example as an intratumor injection. Intratumor injection is directly injected into tumor blood vessels, and is specifically envisaged to be used for discrete, solid, and easily accessible tumors. Local, regional or systemic administration may also be appropriate. The compounds described herein are preferably contacted by administering an injection or multiple injections to the tumor, for example, at about 1 cm intervals. In the case of a surgical operation, the present invention can be used before the operation in order to perform resection of the tumor that is not suitable for operation. When appropriate, continuous administration can also be performed, for example, by implanting a catheter into the tumor or the blood vessel of the tumor.

如本文中所示,本文所述之化合物可單獨或與醫藥學上可接受之載劑組合投與動物,例如人類,其中比例由化合物之溶解性及化學性質、所選擇之投藥途徑及標準醫藥實踐決定。劑量 As shown herein, the compounds described herein can be administered to animals, such as humans, alone or in combination with pharmaceutically acceptable carriers, where the ratio is determined by the solubility and chemical properties of the compound, the chosen route of administration, and standard medicine. Practice decision. dose

本文所述之化合物及/或包括本文所述之化合物之組合物的劑量可視多種因素而變化,該等因素諸如化合物之藥效性;投與模式;接受者之年齡健康狀態及體重;症狀之性質及程度治療頻率及同時進行之治療之類型(若有);及化合物在有待治療之動物中之清除率。所屬領域之技術人員可基於上述因素確定適當劑量。本文所述之化合物可最初以合適劑量投與,劑量可根據需要視臨床反應而進行調整。一般而言,當本文所述之化合物以例如介於0.05 mg與3000 mg (呈固體形式量測)之間的日劑量投與人類時可獲得令人滿意之結果。劑量範圍包括例如10-1000 mg (例如50-800 mg)之間。在一些實施例中,投與50、100、150、200、250、300、350、400、450、500、550、600、650、700、750、800、850、900、950或1000 mg化合物。The dosage of the compound described herein and/or the composition including the compound described herein may vary depending on various factors, such as the efficacy of the compound; the mode of administration; the age, health and weight of the recipient; and symptoms Nature and extent The frequency of treatment and the type of concurrent treatment (if any); and the clearance rate of the compound in the animal to be treated. Those skilled in the art can determine the appropriate dosage based on the above factors. The compounds described herein can be initially administered in a suitable dose, and the dose can be adjusted as needed depending on the clinical response. Generally speaking, satisfactory results can be obtained when the compounds described herein are administered to humans in daily doses, for example, between 0.05 mg and 3000 mg (measured in solid form). The dosage range includes, for example, between 10-1000 mg (for example, 50-800 mg). In some embodiments, 50, 100, 150, 200, 250, 300, 350, 400, 450, 500, 550, 600, 650, 700, 750, 800, 850, 900, 950, or 1000 mg of the compound is administered.

可替代地,可使用患者體重來計算劑量。舉例而言,化合物或其醫藥組合物投與患者之劑量可在0.1-100 mg/kg範圍內。套組 Alternatively, the patient's weight can be used to calculate the dose. For example, the dose of the compound or its pharmaceutical composition administered to the patient may be in the range of 0.1-100 mg/kg. Set

本發明特徵亦在於套組,其包括(a)包括本文所述之降低細胞或個體中BRD9之水準及/或活性之藥劑的醫藥組合物,及(b)具有執行本文所述之方法中之任一者之說明書的包裝插頁。在一些實施例中,套組包括(a)包括本文所述之降低細胞或個體中BRD9之水準及/或活性之藥劑的醫藥組合物,(b)另外的治療劑(例如抗癌劑),及(c)具有執行本文所述之方法中之任一者之說明書的包裝插頁。實例 實例 1-BRD9 降解劑使 BRD9 蛋白質耗盡 The present invention is also characterized by a kit, which includes (a) a pharmaceutical composition comprising the agent described herein that reduces the level and/or activity of BRD9 in a cell or individual, and (b) a pharmaceutical composition capable of performing one of the methods described herein The package insert of either of the instructions. In some embodiments, the kit includes (a) a pharmaceutical composition comprising an agent described herein that reduces the level and/or activity of BRD9 in a cell or individual, (b) an additional therapeutic agent (e.g., an anticancer agent), And (c) a package insert with instructions for performing any of the methods described herein. Examples Example 1-BRD9 degrading agent depletes BRD9 protein

以下實例證明用BRD9降解劑處理之滑膜肉瘤細胞中BRD9蛋白質之耗盡。The following example demonstrates the depletion of BRD9 protein in synovial sarcoma cells treated with BRD9 degrading agent.

程序 :將細胞用DMSO或BRD9降解劑化合物1 (亦稱dBRD9,參見Remillard等人,Angew. Chem. Int. Ed. Engl. 56(21):5738-5743 (2017);參見以下化合物1之結構)處理,劑量及時間點如所指示。

Figure 02_image011
Procedure : Use DMSO or BRD9 degrading agent compound 1 (also known as dBRD9, see Remillard et al., Angew. Chem. Int. Ed. Engl. 56(21):5738-5743 (2017); see the structure of compound 1 below ) Treatment, dosage and time point are as indicated.
Figure 02_image011

全細胞提取物藉由SDS-PAGE分級分離且根據製造商方案(Bio-Rad)使用轉移設備轉移至聚偏二氟乙烯膜。在與含5%脫脂乳之TBST (10 mM Tris pH 8.0、150 mM NaCl、0.5% Tween 20)一起培育60分鐘之後,將膜與針對BRD9 (1:1,000,Bethyl laboratory A303-781A)、GAPDH (1:5,000,Cell Signaling Technology)及/或MBP (1:1,000,BioRad)之抗體在4℃下培育隔夜。將膜洗滌三次,歷時10分鐘,且與結合辣根過氧化物酶(HRP,圖2-3)或IRDye (圖4,1:20,000,LI-COR)之抗小鼠或抗兔抗體一起培育至少1小時。將墨點用TBST洗滌三次,且根據製造商之方案用ECL系統顯影(圖2-3)或在Odyssey CLx成像系統上掃描(圖4)。The whole cell extract was fractionated by SDS-PAGE and transferred to a polyvinylidene fluoride membrane using a transfer device according to the manufacturer's protocol (Bio-Rad). After incubating with TBST containing 5% skim milk (10 mM Tris pH 8.0, 150 mM NaCl, 0.5% Tween 20) for 60 minutes, the membrane was incubated with BRD9 (1:1,000, Bethyl laboratory A303-781A), GAPDH ( 1:5,000, Cell Signaling Technology) and/or MBP (1:1,000, BioRad) antibodies were incubated overnight at 4°C. Wash the membrane three times for 10 minutes and incubate with anti-mouse or anti-rabbit antibodies that bind horseradish peroxidase (HRP, Figure 2-3) or IRDye (Figure 4, 1:20,000, LI-COR) At least 1 hour. The ink dots were washed three times with TBST and developed with the ECL system according to the manufacturer's protocol (Figure 2-3) or scanned on the Odyssey CLx imaging system (Figure 4).

結果 :用BRD9降解劑化合物1處理SYO1滑膜肉瘤細胞引起細胞中BRD9之劑量依賴性(圖1)及時間依賴性(圖2)耗盡。此外,如圖3中所示,在非滑膜肉瘤細胞株(293T)中複製化合物1對BRD9之耗盡且可持續至少5天。實例 2-BRD9 抑制劑及 BRD9 降解劑對滑膜細胞株之生長的抑制 Results : Treatment of SYO1 synovial sarcoma cells with BRD9 degrading agent compound 1 caused a dose-dependent (Figure 1) and time-dependent (Figure 2) exhaustion of BRD9 in the cells. In addition, as shown in Figure 3, the depletion of compound 1 to BRD9 was replicated in a non-synovial sarcoma cell line (293T) and persisted for at least 5 days. Example 2-Inhibition of BRD9 inhibitors and BRD9 degradation agents on the growth of synovial cell lines

以下實例證明BRD9降解劑及抑制劑選擇性地抑制滑膜肉瘤細胞之生長。程序: The following examples demonstrate that BRD9 degrading agents and inhibitors selectively inhibit the growth of synovial sarcoma cells. program:

將細胞用DMSO或BRD9降解劑化合物1以所指示濃度處理,且自第7天至第14天,藉由使用IncuCyte活細胞分析系統量測隨時間推移之匯合來監測增殖(圖4)。每3-4天更新生長培養基及化合物。Cells were treated with DMSO or BRD9 degradation agent compound 1 at the indicated concentration, and from day 7 to day 14, proliferation was monitored by measuring confluence over time using the IncuCyte live cell analysis system (Figure 4). Renew the growth medium and compounds every 3-4 days.

將細胞接種至12孔盤中,且用DMSO、1 μM BRD9抑制劑、化合物2 (亦稱BI-7273,參見Martin等人,J Med Chem. 59(10):4462-4475 (2016);參見以下化合物2之結構)或1 μM BRD9降解劑化合物1處理。

Figure 02_image013
The cells were seeded into a 12-well plate, and DMSO, 1 μM BRD9 inhibitor, compound 2 (also known as BI-7273, see Martin et al., J Med Chem. 59(10):4462-4475 (2016); see The following structure of compound 2) or 1 μM BRD9 degradation agent compound 1 treatment.
Figure 02_image013

針對各細胞株優化細胞數目。每3-5天更新生長培養基及化合物。在第11天將SYO1、Yamato、A549、293T及HS-SY-II細胞固定及染色。在第23天將ASKA細胞固定且染色。藉由與結晶紫溶液(0.5 g結晶紫、27 ml 37%甲醛、100 mL 10X PBS、10 mL甲醇、863 dH20至1L)培育30分鐘,接著用水洗滌3次且在室溫下乾燥培育盤至少24小時來進行染色。隨後在Odyssey CLx成像系統上掃描培育盤(圖5)。Optimize the number of cells for each cell line. Renew the growth medium and compounds every 3-5 days. On the 11th day, SYO1, Yamato, A549, 293T and HS-SY-II cells were fixed and stained. ASKA cells were fixed and stained on the 23rd day. Incubate with crystal violet solution (0.5 g crystal violet, 27 ml 37% formaldehyde, 100 mL 10X PBS, 10 mL methanol, 863 dH20 to 1L) for 30 minutes, then wash 3 times with water and dry the incubation plate at room temperature for at least Dyeing takes 24 hours. The incubation plate was then scanned on the Odyssey CLx imaging system (Figure 5).

將細胞接種至96孔超低簇盤(Costar,#_7007)中之200 μL完全培養基中且在第2天用DMSO、星形孢菌素(Staurosporin)或BRD9降解劑化合物1以所指示劑量處理(圖2C)。每5天更換培養基及化合物且在第14天使細胞群落成像。The cells were seeded into 200 μL of complete medium in a 96-well ultra-low cluster plate (Costar, #_7007) and treated with DMSO, Staurosporin or BRD9 degrading agent compound 1 at the indicated dose on the second day (Figure 2C). The medium and compound were changed every 5 days and the cell colony was imaged on the 14th day.

結果: 如圖4、5及6所示,用BRD9抑制劑化合物2或BRD9降解劑化合物1處理滑膜肉瘤細胞株(SYO1、Yamato、HS-SY-II及ASKA)引起細胞生長之抑制,但未引起非滑膜對照癌細胞株(293T、A549、G401)之生長之抑制。實例 3-BRD9 降解劑及 BRD9 結合劑對滑膜細胞株之生長的選擇性抑制 Results: As shown in Figures 4, 5 and 6, treatment of synovial sarcoma cell lines (SYO1, Yamato, HS-SY-II and ASKA) with BRD9 inhibitor compound 2 or BRD9 degrading agent compound 1 caused cell growth inhibition, but It did not cause inhibition of the growth of non-synovial control cancer cell lines (293T, A549, G401). Example 3- Selective inhibition of the growth of synovial cell lines by BRD9 degrading agent and BRD9 binding agent

以下實例證明BRD9降解劑及結合劑選擇性地抑制滑膜肉瘤細胞之生長。The following examples demonstrate that BRD9 degrading agents and binding agents selectively inhibit the growth of synovial sarcoma cells.

程序: 將細胞接種至6孔或12孔盤中且每日用BRD9降解劑(化合物1)、溴結構域BRD9結合劑(化合物2)、E3連接酶結合劑(來那度胺)、DMSO或星形孢菌素(細胞殺死之陽性對照物)在所指示濃度下處理。針對各細胞株優化細胞數目。每5天更新生長培養基。至第14天,移除培養基,將細胞用PBS洗滌,且在室溫下使用500 μL於25% (v/v)甲醇中之0.005% (w/v)結晶紫溶液染色至少1小時。隨後在Odyssey CLx成像系統上掃描培育盤。 Procedure: Inoculate cells into 6-well or 12-well plates and daily use BRD9 degrading agent (compound 1), bromodomain BRD9 binding agent (compound 2), E3 ligase binding agent (lenalidomide), DMSO or Staurosporine (positive control for cell killing) was treated at the indicated concentration. Optimize the number of cells for each cell line. Renew the growth medium every 5 days. On day 14, remove the medium, wash the cells with PBS, and stain with 500 μL of 0.005% (w/v) crystal violet solution in 25% (v/v) methanol at room temperature for at least 1 hour. The incubation plate was then scanned on the Odyssey CLx imaging system.

結果: 如圖7及8所示,用化合物1或化合物2處理滑膜肉瘤細胞株(SYO1、HS-SY-II及ASKA)引起細胞生長之抑制,但未引起非滑膜對照癌細胞株(RD、HCT116及Calu6)之生長之抑制。總體上,化合物1在所有滑膜細胞株中顯示最顯著之生長抑制。實例 4- 滑膜肉瘤細胞中細胞生長之抑制 Results: As shown in Figures 7 and 8, treatment of synovial sarcoma cell lines (SYO1, HS-SY-II and ASKA) with compound 1 or compound 2 caused cell growth inhibition, but did not cause non-synovial control cancer cell lines ( Inhibition of the growth of RD, HCT116 and Calu6). Overall, compound 1 showed the most significant growth inhibition among all synovial cell lines. Example 4- Inhibition of cell growth in synovial sarcoma cells

以下實例展示BRD9降解劑在滑膜肉瘤細胞中抑制細胞生長且誘導細胞凋亡。The following examples show that BRD9 degrading agents inhibit cell growth and induce apoptosis in synovial sarcoma cells.

程序: 將SYO1細胞用DMSO、200 nM或1 μM之BRD9降解劑(化合物1)或200 nM E3連接酶結合劑(來那度胺)處理8或13天。每5天更新化合物。使用Click-iT™ Plus EdU流式細胞術分析(Invitrogen)執行細胞週期分析。使用膜聯蛋白V-FITC細胞凋亡偵測套組(Sigma A9210)執行細胞凋亡分析。根據製造商之方案執行分析。 Procedure: SYO1 cells were treated with DMSO, 200 nM or 1 μM BRD9 degradation agent (compound 1) or 200 nM E3 ligase binding agent (lenalidomide) for 8 or 13 days. The compound is updated every 5 days. Use Click-iT™ Plus EdU flow cytometry analysis (Invitrogen) to perform cell cycle analysis. Use Annexin V-FITC Apoptosis Detection Kit (Sigma A9210) to perform apoptosis analysis. Perform analysis according to the manufacturer's plan.

結果: 如圖9-12所示,用化合物1處理8或13天引起細胞週期之S期中之細胞數目與DMSO及來那度胺相比減少。用化合物1處理8天亦引起早期及晚期細胞凋亡細胞數目與DMSO對照物相比增加。實例 5-SS18-SSX1-BAF 之組合物 Results: As shown in Figures 9-12, treatment with compound 1 for 8 or 13 days caused a decrease in the number of cells in the S phase of the cell cycle compared with DMSO and lenalidomide. Treatment with compound 1 for 8 days also caused an increase in the number of early and late apoptotic cells compared with the DMSO control. Example 5-SS18-SSX1-BAF composition

以下實例展示作為含SS18-SSX之BAF複合物之組成部分的BRD9的鑒定。The following example shows the identification of BRD9 as a component of the BAF complex containing SS18-SSX.

程序: 使用慢病毒整合產生表現HA-SS18SSX1之穩定293T細胞株。含SS18-SSX1之BAF複合物進行親和力純化且隨後質譜分析揭露SS18-SSX1相互作用蛋白質。 Procedure: Use lentivirus integration to generate a stable 293T cell line expressing HA-SS18SSX1. The BAF complex containing SS18-SSX1 was subjected to affinity purification and then mass spectrometry analysis revealed the SS18-SSX1 interaction protein.

結果: 如圖13所示,包括SS18-SSX融合蛋白之BAF複合物亦包括BRD9。針對ARID1A (95種肽)、ARID1B (77種肽)、SMARCC1 (69種肽)、SMARCD1 (41種肽)、SMARCD2 (37種肽)、DPF2 (32種肽)、SMARCD3 (26種肽)、ACTL6A (25種肽)、BRD9 (22種肽)、DPF1同功型2 (18種肽)、DPF3 (13種肽)及ACTL6B (6種肽)鑒定出超過5種獨特肽。實例 6- 製備 4-[6-( 氮雜環丁烷 -1- )-2- 甲基 -1- 側氧基 -2,7- 萘啶 -4- ]-2,6- 二甲氧基苯甲醛 ( 中間物 H)

Figure 02_image015
步驟 1 :製備 6- -4- 甲基吡啶 -3- 甲醯胺 ( 中間物 B)
Figure 02_image017
Results: As shown in Figure 13, the BAF complex including the SS18-SSX fusion protein also includes BRD9. For ARID1A (95 peptides), ARID1B (77 peptides), SMARCC1 (69 peptides), SMARCD1 (41 peptides), SMARCD2 (37 peptides), DPF2 (32 peptides), SMARCD3 (26 peptides), ACTL6A (25 peptides), BRD9 (22 peptides), DPF1 isoform 2 (18 peptides), DPF3 (13 peptides) and ACTL6B (6 peptides) identified more than 5 unique peptides. Example 6- Preparation of 4-[6-( azetidin- 1 -yl )-2- methyl- 1 -oxo -2,7 -naphthyridin- 4 -yl ]-2,6 -dimethyl Oxybenzaldehyde ( Intermediate H)
Figure 02_image015
Step 1 : Preparation of 6- chloro- 4 -methylpyridine- 3 -carboxamide ( Intermediate B)
Figure 02_image017

向攪拌之6-氯-4-甲基吡啶-3-甲酸(20.00 g,116.564 mmol,1.00當量)及NH4 Cl (62.35 g,1.17 mol,10.00當量)於二氯甲烷(DCM;400 mL)中之混合物中添加DIEA (22.60 g,174.846 mmol,3.00當量)。在攪拌5分鐘後,逐份添加HATU (66.48 g,174.846 mmol,1.50當量)。將所得混合物在室溫下攪拌3小時。將所得混合物減壓濃縮,且殘餘物藉由矽膠管柱層析法來純化,用1/1至3/2之石油醚/乙酸乙酯(PE/EtOAc)溶析,得到呈黃色固體狀之6-氯-4-甲基吡啶-3-甲醯胺(18.30 g,61.3%)。LCMS (ESI) m/z: [M+H]+ = 171。步驟 2 :製備 6- -N-[(1E)-( 二甲基胺基 ) 亞甲基 ]-4- 甲基吡啶 -3- 甲醯胺 ( 中間物 C)

Figure 02_image019
To stirring 6-chloro-4-methylpyridine-3-carboxylic acid (20.00 g, 116.564 mmol, 1.00 equivalent) and NH 4 Cl (62.35 g, 1.17 mol, 10.00 equivalent) in dichloromethane (DCM; 400 mL) Add DIEA (22.60 g, 174.846 mmol, 3.00 equivalents) to the mixture. After stirring for 5 minutes, HATU (66.48 g, 174.846 mmol, 1.50 equivalents) was added portionwise. The resulting mixture was stirred at room temperature for 3 hours. The resulting mixture was concentrated under reduced pressure, and the residue was purified by silica gel column chromatography and eluted with 1/1 to 3/2 petroleum ether/ethyl acetate (PE/EtOAc) to obtain a yellow solid 6-Chloro-4-methylpyridine-3-carboxamide (18.30 g, 61.3%). LCMS (ESI) m/z: [M+H] + = 171. Step 2 : Preparation of 6- chloro- N-[(1E)-( dimethylamino ) methylene ]-4 -methylpyridine- 3 -methanamide ( Intermediate C)
Figure 02_image019

在80℃下在氮氣氛圍下向攪拌之6-氯-4-甲基吡啶-3-甲醯胺(18.30 g,107.268 mmol,1.00當量)及於2-甲基四氫呋喃(100 mL)中之混合物中添加DMF-DMA (19.17 g,160.903 mmol,1.50當量),且再攪拌1小時。接著使混合物冷卻且濃縮,得到呈粗黃色固體狀之6-氯-N-[(1E)-(二甲基胺基)亞甲基]-4-甲基吡啶-3-甲醯胺(26.3 g,91.3%),其未經進一步純化直接使用。LCMS (ESI) m/z: [M+H]+ = 226。步驟 3 :製備 6- -2H-2,7- 萘啶 -1- ( 中間物 D)

Figure 02_image021
A mixture of 6-chloro-4-methylpyridine-3-carboxamide (18.30 g, 107.268 mmol, 1.00 equivalent) and 2-methyltetrahydrofuran (100 mL) stirred at 80°C under a nitrogen atmosphere DMF-DMA (19.17 g, 160.903 mmol, 1.50 equivalents) was added to it, and the mixture was stirred for 1 hour. Then the mixture was cooled and concentrated to give 6-chloro-N-[(1E)-(dimethylamino)methylene]-4-methylpyridine-3-methanamide (26.3 g, 91.3%), which was used without further purification. LCMS (ESI) m/z: [M+H] + = 226. Step 3 : Preparation of 6- chloro- 2H-2,7 -naphthyridin- 1 -one ( Intermediate D)
Figure 02_image021

向攪拌之6-氯-N-[(1E)-(二甲基胺基)亞甲基]-4-甲基吡啶-3-甲醯胺(26.30 g)於THF (170.00 mL)中之混合物中添加t-BuOK (174.00 mL,THF中1 mol/L)。將所得溶液在60℃下在氮氣氛圍下攪拌30分鐘。接著使混合物冷卻且減壓濃縮。將粗固體用飽和NaHCO3 溶液(100 mL)洗滌且收集,得到呈粉色固體狀之6-氯-2H-2,7-萘啶-1-酮(14.1 g,67.0%),其未經進一步純化直接使用。LCMS (ESI) m/z: [M+H]+ = 181。步驟 4 :製備 6- -2- 甲基 -2,7- 萘啶 -1- ( 中間物 E)

Figure 02_image023
To a stirred mixture of 6-chloro-N-[(1E)-(dimethylamino)methylene]-4-methylpyridine-3-carboxamide (26.30 g) in THF (170.00 mL) Add t-BuOK (174.00 mL, 1 mol/L in THF). The resulting solution was stirred at 60°C under a nitrogen atmosphere for 30 minutes. Then the mixture was cooled and concentrated under reduced pressure. The crude solid was washed with saturated NaHCO 3 solution (100 mL) and collected to give 6-chloro-2H-2,7-naphthyridin-1-one (14.1 g, 67.0%) as a pink solid without further Purify and use directly. LCMS (ESI) m/z: [M+H] + = 181. Step 4 : Preparation of 6- chloro -2- methyl- 2,7 -naphthyridin- 1 -one ( Intermediate E)
Figure 02_image023

在0℃下向攪拌之6-氯-2H-2, 7-萘啶-1-酮(14.10 g,78.077 mmol,1.00當量)于無水THF (280.00 mL)中之混合物中逐份添加NaH (9.37 g,234.232 mmol,3.00當量,60%)。10分鐘後,在0℃下添加MeI (33.25 g,234.232 mmol,3.00當量),且將混合物在0℃下攪拌10分鐘,且接著將混合物在室溫下攪拌12小時。將所得混合物減壓濃縮。將粗固體用水(100 mL)形成漿液,且過濾固體且收集,得到呈黃色固體狀之6-氯-2-甲基-2,7-萘啶-1-酮(14.6 g,94.1%),其未經進一步純化直接使用。LCMS (ESI) m/z: [M+H]+ = 195。步驟 5 :製備 4-溴-6-氯-2-甲基-2,7-萘啶-1-酮( 中間物 F)

Figure 02_image025
To a stirred mixture of 6-chloro-2H-2, 7-naphthyridin-1-one (14.10 g, 78.077 mmol, 1.00 equivalent) in anhydrous THF (280.00 mL) was added NaH (9.37 g, 234.232 mmol, 3.00 equivalent, 60%). After 10 minutes, MeI (33.25 g, 234.232 mmol, 3.00 equivalents) was added at 0°C, and the mixture was stirred at 0°C for 10 minutes, and then the mixture was stirred at room temperature for 12 hours. The resulting mixture was concentrated under reduced pressure. The crude solid was slurried with water (100 mL), and the solid was filtered and collected to give 6-chloro-2-methyl-2,7-naphthyridin-1-one (14.6 g, 94.1%) as a yellow solid, It was used without further purification. LCMS (ESI) m/z: [M+H] + = 195. Step 5 : Preparation of 4-bromo-6-chloro-2-methyl-2,7-naphthyridin-1-one ( Intermediate F)
Figure 02_image025

向攪拌之6-氯-2-甲基-2,7-萘啶-1-酮(8.00 g,41.106 mmol,1.00當量)於DMF (160.00 mL)中之混合物中添加NBS (8.78 g,49.327 mmol,1.20當量),且將所得混合物在90℃下攪拌2小時。使反應混合物冷卻且用DCM (150 mL)稀釋且用水(3×100 mL)洗滌。將有機層乾燥且濃縮。接著將殘餘物用EtOAc (20 mL)形成漿液,且過濾漿液。將濾餅用EtOAc (20 mL)洗滌,得到呈白色固體狀之4-溴-6-氯-2-甲基-2,7-萘啶-1-酮(6.32 g,55.7%),其未經進一步純化直接使用。LCMS (ESI) m/z: [M+H]+ = 273。步驟 6 :製備 6-( 氮雜環丁烷 -1- )-4- -2- 甲基 -2,7- 萘啶 -1- ( 中間物 G)

Figure 02_image027
To a stirred mixture of 6-chloro-2-methyl-2,7-naphthyridin-1-one (8.00 g, 41.106 mmol, 1.00 equivalent) in DMF (160.00 mL) was added NBS (8.78 g, 49.327 mmol) , 1.20 equivalents), and the resulting mixture was stirred at 90°C for 2 hours. The reaction mixture was cooled and diluted with DCM (150 mL) and washed with water (3×100 mL). The organic layer was dried and concentrated. The residue was then slurried with EtOAc (20 mL), and the slurry was filtered. The filter cake was washed with EtOAc (20 mL) to give 4-bromo-6-chloro-2-methyl-2,7-naphthyridin-1-one (6.32 g, 55.7%) as a white solid. Use directly after further purification. LCMS (ESI) m/z: [M+H] + = 273. Step 6 : Preparation of 6-( azetidine- 1 -yl )-4- bromo -2- methyl- 2,7 -naphthyridin- 1 -one ( Intermediate G)
Figure 02_image027

向4-溴-6-氯-2-甲基-2,7-萘啶-1-酮(5.00 g,18.281 mmol,1.00當量)及氮雜環丁烷鹽酸鹽(3.2 g,54.843 mmol,3當量)於DMSO (50.00 mL)中之溶液中添加K2 CO3 (12.6 g,91.404 mmol,5當量)。將所得溶液在130℃下攪拌2小時。使所得混合物冷卻且用水(100 mL)稀釋,且接著用EtOAc (3×100 mL)萃取。將合併之有機層用飽和NaCl溶液(3×50 mL)洗滌,經無水Na2 SO4 乾燥,且減壓濃縮,得到呈灰色固體狀之6-(氮雜環丁烷-1-基)-4-溴-2-甲基-2,7-萘啶-1-酮(3.7 g,68.8%),其未經進一步純化直接使用。LCMS (ESI) m/z: [M+H]+ = 294。步驟 7 :製備 4-[6-(氮雜環丁烷-1-基)-2-甲基-1-側氧基-2,7-萘啶-4-基]-2,6-二甲氧基苯甲醛( 中間物 H)

Figure 02_image029
To 4-bromo-6-chloro-2-methyl-2,7-naphthyridin-1-one (5.00 g, 18.281 mmol, 1.00 equivalent) and azetidine hydrochloride (3.2 g, 54.843 mmol, 3 equivalents) K 2 CO 3 (12.6 g, 91.404 mmol, 5 equivalents) was added to the solution in DMSO (50.00 mL). The resulting solution was stirred at 130°C for 2 hours. The resulting mixture was cooled and diluted with water (100 mL), and then extracted with EtOAc (3×100 mL). The combined organic layer was washed with saturated NaCl solution (3×50 mL), dried over anhydrous Na 2 SO 4 , and concentrated under reduced pressure to obtain 6-(azetidin-1-yl)- as a gray solid 4-Bromo-2-methyl-2,7-naphthyridin-1-one (3.7 g, 68.8%), which was used without further purification. LCMS (ESI) m/z: [M+H] + = 294. Step 7 : Preparation of 4-[6-(azetidin-1-yl)-2-methyl-1-oxo-2,7-naphthyridin-4-yl]-2,6-dimethyl Oxybenzaldehyde ( Intermediate H)
Figure 02_image029

向6-(氮雜環丁烷-1-基)-4-溴-2-甲基-2,7-萘啶-1-酮(1.42 g,4.827 mmol,1.00當量)及4-甲醯基-3,5-二甲氧基苯基硼酸(1.52 g,7.241 mmol,1.5當量)於二噁烷(16.00 mL)及H2 O (4.00 mL)中之溶液中添加Pd(dppf)Cl2 (353.2 mg,0.483 mmol,0.1當量)及Cs2 CO3 (3.15 g,9.655 mmol,2當量),且將所得溶液在70℃ 下攪拌2小時。使所得混合物冷卻且減壓濃縮。將殘餘物用水(30 mL)形成漿液且過濾,且收集濾餅。此固體進一步用MeOH (30 mL)形成漿液且過濾。收集固體,得到呈灰色固體狀之4-[6-(氮雜環丁烷-1-基)-2-甲基-1-側氧基-2,7-萘啶-4-基]-2,6-二甲氧基苯甲醛(1.42 g,77.5%)。LCMS (ESI) m/z: [M+H]+ = 380。實例 7- 製備 3-[1- 側氧基 -6-[7-( 哌啶 -4- 基甲基 )-2,7- 二氮雜螺 [3.5] 壬烷 -2- ]-3H- 異吲哚 -2- ] 哌啶 -2,6- 二酮 ( 中間物 P)

Figure 02_image031
步驟 1 :製備 5- -2-( 溴甲基 ) 苯甲酸甲酯 ( 中間物 J).
Figure 02_image033
To 6-(azetidin-1-yl)-4-bromo-2-methyl-2,7-naphthyridin-1-one (1.42 g, 4.827 mmol, 1.00 equivalent) and 4-methanyl -3,5-Dimethoxyphenylboronic acid (1.52 g, 7.241 mmol, 1.5 equivalents) in dioxane (16.00 mL) and H 2 O (4.00 mL) was added Pd(dppf)Cl 2 ( 353.2 mg, 0.483 mmol, 0.1 equivalent) and Cs 2 CO 3 (3.15 g, 9.655 mmol, 2 equivalents), and the resulting solution was stirred at 70° C. for 2 hours. The resulting mixture was cooled and concentrated under reduced pressure. The residue was slurried with water (30 mL) and filtered, and the filter cake was collected. This solid was further slurried with MeOH (30 mL) and filtered. The solid was collected to obtain 4-[6-(azetidin-1-yl)-2-methyl-1-oxo-2,7-naphthyridin-4-yl]-2 as a gray solid ,6-Dimethoxybenzaldehyde (1.42 g, 77.5%). LCMS (ESI) m/z: [M+H] + = 380. Example 7- Preparation of 3-[1 -Pendoxy -6-[7-( piperidin- 4 -ylmethyl )-2,7 -diazaspiro [3.5] nonane- 2- yl ]-3H- Isoindol- 2- yl ] piperidine- 2,6 -dione ( Intermediate P)
Figure 02_image031
Step 1 : Preparation of methyl 5- bromo -2-( bromomethyl) benzoate ( Intermediate J).
Figure 02_image033

向攪拌之5-溴-2-甲基苯甲酸甲酯(50.00 g,218.271 mmol,1.00當量)於CCl4 (500.00 mL)中之混合物中添加NBS (38.85 g,218.271 mmol,1.00當量)及BPO (5.59 g,21.827 mmol,0.10當量)。在80℃下攪拌隔夜後,混合物藉由矽膠管柱層析法來純化,用PE/EtOAc (50:1)溶析,得到呈黃色油狀之5-溴-2-(溴甲基)苯甲酸甲酯(67 g,74.75%)。LCMS (ESI) m/z: [M+H]+ = 307。步驟 2 :製備 4-(6- -1- 側氧基 -3H- 異吲哚 -2- )-4- 胺甲醯基丁酸第三丁酯 ( 中間物 K)

Figure 02_image035
To a stirred mixture of methyl 5-bromo-2-methylbenzoate (50.00 g, 218.271 mmol, 1.00 equivalent) in CCl 4 (500.00 mL) was added NBS (38.85 g, 218.271 mmol, 1.00 equivalent) and BPO (5.59 g, 21.827 mmol, 0.10 equivalents). After stirring overnight at 80°C, the mixture was purified by silica gel column chromatography and eluted with PE/EtOAc (50:1) to obtain 5-bromo-2-(bromomethyl)benzene as a yellow oil. Methyl formate (67 g, 74.75%). LCMS (ESI) m/z: [M+H] + = 307. Step 2 : Preparation of 4-(6- bromo- 1 -oxo -3H- isoindol- 2- yl )-4 -aminomethanylbutyric acid tert-butyl ester ( Intermediate K)
Figure 02_image035

向攪拌之5-溴-2-(溴甲基)苯甲酸甲酯(67.00 g,217.554 mmol,1.00當量)及(4S)-4-胺基-4-胺甲醯基丁酸第三丁酯鹽酸鹽(62.32 g,261.070 mmol,1.20當量)於DMF (100.00 mL)中之混合物中添加DIEA (112.47 g,870.217 mmol,4當量)。在80℃下攪拌隔夜後,將混合物減壓濃縮。向殘餘物添加水(200 mL)且在室溫下攪拌1小時。將所得混合物過濾,向濾餅添加水(100 mL)且攪拌。沈澱固體藉由過濾來收集且用水(3×30 mL)洗滌。此產生呈灰白色固體狀之4-(6-溴-1-側氧基-3H-異吲哚-2-基)-4-胺甲醯基丁酸第三丁酯(55 g,60.46%)。LCMS (ESI) m/z: [M+H]+ =397。步驟 3 :製備 2-[2-[4-( 第三丁氧基 )-1- 胺甲醯基 -4- 側氧基丁基 ]-3- 側氧基 -1H- 異吲哚 -5- ]-2,7- 二氮雜螺 [3.5] 壬烷 -7- 甲酸第三丁酯 ( 中間物 L)

Figure 02_image037
To the stirred methyl 5-bromo-2-(bromomethyl)benzoate (67.00 g, 217.554 mmol, 1.00 equivalent) and (4S)-4-amino-4-aminomethanylbutyrate tert-butyl ester To a mixture of hydrochloride (62.32 g, 261.070 mmol, 1.20 equivalents) in DMF (100.00 mL) was added DIEA (112.47 g, 870.217 mmol, 4 equivalents). After stirring at 80°C overnight, the mixture was concentrated under reduced pressure. Water (200 mL) was added to the residue and stirred at room temperature for 1 hour. The resulting mixture was filtered, water (100 mL) was added to the filter cake and stirred. The precipitated solid was collected by filtration and washed with water (3×30 mL). This produced 4-(6-bromo-1-oxo-3H-isoindol-2-yl)-4-aminomethanylbutyric acid tert-butyl ester (55 g, 60.46%) as an off-white solid. . LCMS (ESI) m/z: [M+H] + =397. Step 3 : Preparation of 2-[2-[4-( tertiary butoxy )-1 -aminomethanyl- 4 -oxobutyl ]-3 -oxo -1H- isoindole- 5- yl] -2,7-diazaspiro [3.5] nonane-7-carboxylic acid tert-butyl ester (intermediate L)
Figure 02_image037

向攪拌之4-(6-溴-1-側氧基-3H-異吲哚-2-基)-4-胺甲醯基丁酸第三丁酯(10.00 g,25.172 mmol,1.00當量)及2,7-二氮雜螺[3.5] 壬烷-7-甲酸第三丁酯鹽酸鹽(8.60 g,32.723 mmol,1.30當量)於二噁烷(200.00 mL)中之溶液中添加Cs2 CO3 (24.60 g,75.516 mmol,3.00當量)及第3代RuPhos Palladacycle (2.11 g,2.517 mmol,0.10當量)。在100℃下在氮氣氛圍下攪拌隔夜後,將所得混合物在熱時過濾,且將濾餅用1,4-二噁烷(3×50 mL)洗滌。將濾液減壓濃縮,得到呈黑色固體狀之2-[2-[4-(第三丁氧基)-1-胺甲醯基-4-側氧基丁基]-3-側氧基-1H -異吲哚-5-基]-2,7-二氮雜螺[3.5]壬烷-7-甲酸第三丁酯(21 g,粗製物)。LCMS (ESI) m/z: [M+H]+ = 543。步驟 4 :製備 2-[2-(2,6- 二側氧基哌啶 -3- )-3- 側氧基 -1H- 異吲哚 -5- ]-2,7- 二氮雜螺 [3.5] 壬烷 -7- 甲酸第三丁酯 ( 中間物 M)

Figure 02_image039
To the stirred 4-(6-bromo-1-oxo-3H-isoindol-2-yl)-4-aminomethanylbutyric acid tert-butyl ester (10.00 g, 25.172 mmol, 1.00 equivalent) and 2,7-diazaspiro[3.5] nonane-7-carboxylic acid tert-butyl ester hydrochloride (8.60 g, 32.723 mmol, 1.30 equivalent) in dioxane (200.00 mL) was added Cs 2 CO 3 (24.60 g, 75.516 mmol, 3.00 equivalents) and the third generation RuPhos Palladacycle (2.11 g, 2.517 mmol, 0.10 equivalents). After stirring overnight at 100°C under a nitrogen atmosphere, the resulting mixture was filtered while hot, and the filter cake was washed with 1,4-dioxane (3×50 mL). The filtrate was concentrated under reduced pressure to obtain 2-[2-[4-(tertiary butoxy)-1-aminomethanyl-4-oxobutyl]-3-oxo- as a black solid 1 H -Isoindol-5-yl]-2,7-diazaspiro[3.5]nonane-7-carboxylic acid tertiary butyl ester (21 g, crude). LCMS (ESI) m/z: [M+H] + = 543. Step 4 : Preparation of 2-[2-(2,6 -dioxopiperidin- 3 -yl )-3 -oxo -1H- isoindol- 5- yl ]-2,7 -diazepine Spiro [3.5] nonane- 7- carboxylic acid tert-butyl ester ( intermediate M)
Figure 02_image039

向攪拌之2-[2-[(1S)-4-(第三丁氧基)-1-胺甲醯基-4-側氧基丁基]-3-側氧基-1H -異吲哚-5-基]-2,7-二氮雜螺[3.5]壬烷-7-甲酸第三丁酯(13.68 g,25.208 mmol,1.00當量)於THF (100.00  mL)中之混合物中添加含t-BuOK之THF (25.00 mL,25.000 mmol,0.99當量)。將所得混合物在室溫下攪拌2小時。將混合物用1 M HCl (水溶液)酸化至pH 6且接著用飽和NaHCO3 (水溶液)中和至pH 7。所得混合物用EtOAc (3×200 mL)萃取。將合併之有機層減壓濃縮。此產生呈黃色固體狀之2-[2-(2,6-二側氧基哌啶-3-基)-3-側氧基-1H -異吲哚-5-基]-2,7-二氮雜螺[3.5]壬烷-7-甲酸第三丁酯(7.8 g,59.43%)。LCMS (ESI) m/z: [M+H]+ = 469。步驟 5 :製備 3-(6-[2,7- 二氮雜螺 [3.5] 壬烷 -2- ]-1- 側氧基 -3H- 異吲哚 -2- ) 哌啶 -2,6- 二酮 ( 中間物 N)

Figure 02_image041
To the stirring of 2-[2-[(1S)-4-(tertiary butoxy)-1-aminomethanyl-4-oxobutyl]-3-oxo-1 H -isoindyl Dol-5-yl]-2,7-diazaspiro[3.5]nonane-7-carboxylic acid tert-butyl ester (13.68 g, 25.208 mmol, 1.00 equivalent) in THF (100.00 mL) is added to the mixture containing t-BuOK in THF (25.00 mL, 25.000 mmol, 0.99 equivalent). The resulting mixture was stirred at room temperature for 2 hours. The mixture was acidified to pH 6 with 1 M HCl (aqueous) and then neutralized to pH 7 with saturated NaHCO 3 (aqueous). The resulting mixture was extracted with EtOAc (3×200 mL). The combined organic layer was concentrated under reduced pressure. This produces 2-[2-(2,6-dioxopiperidin-3-yl)-3-oxo- 1H -isoindol-5-yl]-2,7 as a yellow solid -Diazaspiro[3.5]nonane-7-t-butyl carboxylate (7.8 g, 59.43%). LCMS (ESI) m/z: [M+H] + = 469. Step 5 : Preparation of 3-(6-[2,7 -diazaspiro [3.5] nonan- 2- yl ]-1 -oxo -3H- isoindol- 2- yl ) piperidine -2, 6- Diketone ( Intermediate N)
Figure 02_image041

向攪拌之2-[2-(2,6-二側氧基哌啶-3-基)-3-側氧基-1H -異吲哚-5-基]-2,7-二氮雜螺[3.5]壬烷-7-甲酸第三丁酯(7.80 g,16.647 mmol,1.00當量)於DCM (10.00 mL)中之混合物中添加三氟乙酸(TFA;5.00 mL)。在室溫下攪拌2小時後,所得混合物在真空下濃縮。此產生呈淡黃色固體狀之3-(6-[2,7-二氮雜螺[3.5]壬烷-2-基]-1-側氧基-3H -異吲哚-2-基)哌啶-2,6-二酮(6 g,92.93%)。LCMS (ESI) m/z: [M+H]+ = 369。步驟 6 :製備 4-([2-[2-(2,6- 二側氧基哌啶 -3- )-3- 側氧基 -1H- 異吲哚 -5- ]-2,7- 二氮雜螺 [3.5] 壬烷 -7- ] 甲基 ) 哌啶 -1- 甲酸第三丁酯 ( 中間物 O)

Figure 02_image043
To the stirring of 2-[2-(2,6-dioxopiperidin-3-yl)-3-oxo- 1H -isoindol-5-yl]-2,7-diazepine To a mixture of spiro[3.5]nonane-7-carboxylic acid tert-butyl ester (7.80 g, 16.647 mmol, 1.00 equivalent) in DCM (10.00 mL) was added trifluoroacetic acid (TFA; 5.00 mL). After stirring for 2 hours at room temperature, the resulting mixture was concentrated under vacuum. This produces 3-(6-[2,7-diazaspiro[3.5]nonan-2-yl]-1-oxo- 3H -isoindol-2-yl) as a pale yellow solid Piperidine-2,6-dione (6 g, 92.93%). LCMS (ESI) m/z: [M+H] + = 369. Step 6 : Preparation of 4-([2-[2-(2,6 - dioxopiperidin-3 -yl )-3 -oxo -1H- isoindol- 5- yl ]-2,7 - diazaspiro [3.5] nonane-7-yl] methyl) piperidine-1-carboxylic acid tert-butyl ester (intermediate O)
Figure 02_image043

在室溫下向攪拌之3-(6-[2,7-二氮雜螺[3.5]壬烷-2-基]-1-側氧基-3H -異吲哚-2-基)哌啶-2,6-二酮(4.00 g,8.685 mmol,1.00當量,80%)及4-甲醯基哌啶-1-甲酸第三丁酯(1.48 g,6.939 mmol,0.80當量)於DMF (20.00 mL)中之溶液中添加NaBH(OAc)3 (3.68 g,17.363 mmol,2.00當量)。將所得混合物在室溫下攪拌2小時。在室溫下反應用水淬滅。所得混合物藉由逆相急驟層析法利用以下條件(管柱,C18矽膠;移動相,含CH3 CN之水(0.1% FA),40分鐘內0至100%梯度;偵測器,UV 254 nm)來純化。此產生呈深黃色固體狀之4-([2-[2-(2,6-二側氧基哌啶-3-基)-3-側氧基-1H -異吲哚-5-基]-2,7-二氮雜螺 [3.5]壬烷-7-基]甲基)哌啶-1-甲酸第三丁酯(2.8 g,51.29%)。LCMS (ESI) m/z: [M+H]+ = 566。步驟 7 :製備 3-[1- 側氧基 -6-[7-( 哌啶 -4- 基甲基 )-2,7- 二氮雜螺 [3.5] 壬烷 -2- ]-3H- 異吲哚 -2- ] 哌啶 -2,6- 二酮 ( 中間物 P)

Figure 02_image045
Stir the 3-(6-[2,7-diazaspiro[3.5]nonan-2-yl]-1-oxo- 3H -isoindol-2-yl)piper at room temperature Pyridin-2,6-dione (4.00 g, 8.685 mmol, 1.00 equivalent, 80%) and tert-butyl 4-methylpiperidine-1-carboxylate (1.48 g, 6.939 mmol, 0.80 equivalent) in DMF ( 20.00 mL) was added NaBH(OAc) 3 (3.68 g, 17.363 mmol, 2.00 equivalents). The resulting mixture was stirred at room temperature for 2 hours. The reaction was quenched with water at room temperature. The resulting mixture was subjected to reverse phase flash chromatography using the following conditions (column, C18 silica gel; mobile phase, water containing CH 3 CN (0.1% FA), 0 to 100% gradient in 40 minutes; detector, UV 254 nm) to purify. This produces 4-([2-[2-(2,6-di-oxopiperidin-3-yl)-3-oxo- 1H -isoindol-5-yl as a dark yellow solid ]-2,7-Diazaspiro[3.5]nonane-7-yl]methyl)piperidine-1-carboxylic acid tert-butyl ester (2.8 g, 51.29%). LCMS (ESI) m/z: [M+H] + = 566. Step 7 : Preparation of 3-[1 -oxo -6-[7-( piperidin- 4 -ylmethyl )-2,7 -diazaspiro [3.5] nonane- 2- yl ]-3H- Isoindol- 2- yl ] piperidine- 2,6 -dione ( Intermediate P)
Figure 02_image045

向攪拌之4-([2-[2-(2,6-二側氧基哌啶-3-基)-3-側氧基-1H -異吲哚-5-基]-2,7-二氮雜螺[3.5]壬烷-7-基]甲基)哌啶-1-甲酸第三丁酯(2.80 g,4.949 mmol,1.00當量)於DCM (5.00 mL)中之混合物中添加TFA (2.00 mL)。將混合物在室溫下攪拌2小時。將所得混合物減壓濃縮,得到呈黃色固體狀之3-[1-側氧基-6-[7-(哌啶-4-基甲基)-2,7-二氮雜螺[3.5]壬烷-2-基]-3H -異吲哚-2-基]哌啶-2,6-二酮(3.9 g,粗製物)。LCMS (ESI) m/z: [M+H]+ = 466。實例 8- 製備 3-[6-(7-[[1-([4-[6-( 氮雜環丁烷 -1- )-2- 甲基 -1- 側氧基 -2,7- 萘啶 -4- ]-2,6- 二甲氧基苯基 ] 甲基 ) 哌啶 -4- ] 甲基 ]-2,7- 二氮雜螺 [3.5] 壬烷 -2- )-1- 側氧基 -3H- 異吲哚 -2- ] 哌啶 -2,6- 二酮 TFA ( 化合物 D1 TFA )

Figure 02_image047
To the stirring of 4-([2-[2-(2,6- dilateral oxypiperidin-3-yl)-3-lateral oxy-1 H -isoindol-5-yl]-2,7 -Diazaspiro[3.5]nonane-7-yl]methyl)piperidine-1-carboxylic acid tert-butyl ester (2.80 g, 4.949 mmol, 1.00 equivalent) in DCM (5.00 mL) is added TFA (2.00 mL). The mixture was stirred at room temperature for 2 hours. The resulting mixture was concentrated under reduced pressure to obtain 3-[1-oxo-6-[7-(piperidin-4-ylmethyl)-2,7-diazaspiro[3.5]nonane as a yellow solid 2-yl] -3 H - isoindol-2-yl] piperidine-2,6-dione (3.9 g, crude material). LCMS (ESI) m/z: [M+H] + = 466. Example 8- Preparation of 3-[6-(7-[[1-([4-[6-( azetidin- 1 -yl )-2- methyl- 1 -oxo -2,7- Naphthyridin- 4 -yl ]-2,6 -dimethoxyphenyl ] methyl ) piperidin- 4 -yl ] methyl ]-2,7 -diazaspiro [3.5] nonane- 2- yl )-1 -Panoxy -3H- isoindol- 2- yl ) piperidine- 2,6 -dione TFA salt ( Compound D1 TFA salt )
Figure 02_image047

將3-[1-側氧基-6-[7-(哌啶-4-基甲基)-2,7-二氮雜螺[3.5]壬烷-2-基]-3H-異吲哚-2-基]哌啶-2,6-二酮(4.5 g,10.52 mmol,1.00當量)及4-[6-(氮雜環丁烷-1-基)-2-甲基-1-側氧基-2,7-萘啶-4-基]-2,6-二甲氧基苯甲醛(4.0 g,10.52 mmol,1.00當量)及異丙氧基鈦(IV) (3.0 g,10.52 mmol,1.00當量)於DMSO (100 mL)中之溶液在室溫下攪拌3小時。接著分批添加NaBH(OAc)3 (8.92 g,42.08 mmol,4.00當量)至以上所得溶液中,且將所得混合物在室溫下攪拌隔夜。反應藉由添加水(30 mL)淬滅,且接著過濾溶液。濾餅用水及乙腈洗滌。接著濾液真空濃縮。粗產物藉由逆相急驟層析法利用以下條件(管柱:AQ C18 管柱,50 × 250 mm 10 µm;移動相A:水(TFA 0.1%),移動相B:CAN;流速:100毫升/分鐘;梯度:35分鐘內5 B至25 B;254/220 nm)來純化。純溶離份蒸發至乾,得到呈白色固體狀之3-[6-(7-[[1-([4-[6-(氮雜環丁烷-1-基)-2-甲基-1-側氧基-2,7-萘啶-4-基]-2,6-二甲氧基苯基]甲基)哌啶-4-基]甲基]-2,7-二氮雜螺[3.5] 壬烷-2-基)-1-側氧基-3H-異吲哚-2-基]哌啶-2,6-二酮TFA鹽(3.2 g,32.3%)。1 H NMR (400 MHz, DMSO-d6 ) δ 10.96 (s, 1H), 9.01 (s, 1H), 7.59 (s, 1H), 7.36 (d,J = 8.0 Hz, 1H), 6.72 (s, 2H), 6.68 (d,J = 8.1 Hz, 2H), 6.20 (s, 1H), 5.07 (dd,J = 13.3, 5.1 Hz, 1H), 4.35 – 4.13 (m, 2H), 4.06 – 3.95 (m, 4H), 3.80 (s, 6H), 3.57 (s, 4H), 3.47 (s, 5H), 2.97 – 2.75 (m, 3H), 2.70 – 2.55 (m, 1H), 2.44 – 2.16 (m, 7H), 2.13 – 1.88 (m, 5H), 1.80 – 1.67 (m, 4H), 1.61 (d,J = 12.4 Hz, 2H), 1.53 – 1.33 (m, 1H), 1.13 – 0.94 (m, 2H)。LCMS (ESI) m/z: [M+H]+ = 829.55。3-[1-Pendant oxy-6-[7-(piperidin-4-ylmethyl)-2,7-diazaspiro[3.5]nonan-2-yl]-3H-isoindole -2-yl]piperidine-2,6-dione (4.5 g, 10.52 mmol, 1.00 equivalent) and 4-[6-(azetidin-1-yl)-2-methyl-1-side Oxy-2,7-naphthyridin-4-yl]-2,6-dimethoxybenzaldehyde (4.0 g, 10.52 mmol, 1.00 equivalent) and titanium(IV) isopropoxide (3.0 g, 10.52 mmol , 1.00 equivalent) in DMSO (100 mL) was stirred at room temperature for 3 hours. Then NaBH(OAc) 3 (8.92 g, 42.08 mmol, 4.00 equivalents) was added in portions to the above resulting solution, and the resulting mixture was stirred at room temperature overnight. The reaction was quenched by adding water (30 mL), and then the solution was filtered. The filter cake was washed with water and acetonitrile. The filtrate was then concentrated in vacuo. The crude product was subjected to reverse phase flash chromatography using the following conditions (column: AQ C18 column, 50 × 250 mm 10 µm; mobile phase A: water (TFA 0.1%), mobile phase B: CAN; flow rate: 100 ml /Min; gradient: 5 B to 25 B in 35 minutes; 254/220 nm) for purification. The pure fraction was evaporated to dryness to obtain 3-[6-(7-[[1-([4-[6-(azetidin-1-yl)-2-methyl-1 as a white solid -Pendant oxy-2,7-naphthyridin-4-yl]-2,6-dimethoxyphenyl]methyl)piperidin-4-yl]methyl)-2,7-diazaspiro [3.5] Nonan-2-yl)-1-oxo-3H-isoindol-2-yl]piperidine-2,6-dione TFA salt (3.2 g, 32.3%). 1 H NMR (400 MHz, DMSO- d6 ) δ 10.96 (s, 1H), 9.01 (s, 1H), 7.59 (s, 1H), 7.36 (d, J = 8.0 Hz, 1H), 6.72 (s, 2H) ), 6.68 (d, J = 8.1 Hz, 2H), 6.20 (s, 1H), 5.07 (dd, J = 13.3, 5.1 Hz, 1H), 4.35 – 4.13 (m, 2H), 4.06 – 3.95 (m, 4H), 3.80 (s, 6H), 3.57 (s, 4H), 3.47 (s, 5H), 2.97 – 2.75 (m, 3H), 2.70 – 2.55 (m, 1H), 2.44 – 2.16 (m, 7H) , 2.13 – 1.88 (m, 5H), 1.80 – 1.67 (m, 4H), 1.61 (d, J = 12.4 Hz, 2H), 1.53 – 1.33 (m, 1H), 1.13 – 0.94 (m, 2H). LCMS (ESI) m/z: [M+H] + = 829.55.

藉由超臨界流體層析在對掌性支撐物上來分離化合物D1之對映異構物以產生化合物S-D1及化合物R-D1。實例 9- 製備化合物 D2 The enantiomers of compound D1 were separated by supercritical fluid chromatography on a palm support to produce compound S-D1 and compound R-D1. Example 9- Preparation of Compound D2

與上述實例中所述之程序類似, 使用適當起始物質製備化合物D2。 Similar to the procedure described in the above examples, compound D2 was prepared using appropriate starting materials.

化合物D2:1 H NMR (300 MHz, DMSO-d6) δ 10.98 (s, 1H), 9.02 (d,J = 0.7 Hz, 1H), 7.63 (d,J = 2.3 Hz, 1H), 7.41 (d,J = 8.8 Hz, 1H), 6.88 (s, 2H), 6.70 (h,J = 2.4 Hz, 2H), 6.24 (d,J = 6.0 Hz, 1H), 5.08 (dd,J = 13.2, 5.1 Hz, 1H), 4.41 – 4.14 (m, 4H), 4.04 (t,J = 7.4 Hz, 4H), 3.91 (s, 1H), 3.70 (d,J = 22.5 Hz, 4H), 3.50 (s, 3H), 3.45 (s, 1H), 3.22 (s, 1H), 3.14 – 2.82 (m, 6H), 2.60 (d,J = 16.2 Hz, 1H), 2.55 (s, 2H), 2.44 – 2.28 (m, 3H), 2.18 – 2.05 (m, 3H), 1.97 (t,J = 13.9 Hz, 5H), 1.51 (q,J = 12.2, 11.1 Hz, 2H)。LCMS (ESI) m/z: [M+H]+ = 835.45。實例 10 - SYO1 BRD9 NanoLuc 降解分析 Compound D2: 1 H NMR (300 MHz, DMSO-d6) δ 10.98 (s, 1H), 9.02 (d, J = 0.7 Hz, 1H), 7.63 (d, J = 2.3 Hz, 1H), 7.41 (d, J = 8.8 Hz, 1H), 6.88 (s, 2H), 6.70 (h, J = 2.4 Hz, 2H), 6.24 (d, J = 6.0 Hz, 1H), 5.08 (dd, J = 13.2, 5.1 Hz, 1H), 4.41 – 4.14 (m, 4H), 4.04 (t, J = 7.4 Hz, 4H), 3.91 (s, 1H), 3.70 (d, J = 22.5 Hz, 4H), 3.50 (s, 3H), 3.45 (s, 1H), 3.22 (s, 1H), 3.14 – 2.82 (m, 6H), 2.60 (d, J = 16.2 Hz, 1H), 2.55 (s, 2H), 2.44 – 2.28 (m, 3H) , 2.18 – 2.05 (m, 3H), 1.97 (t, J = 13.9 Hz, 5H), 1.51 (q, J = 12.2, 11.1 Hz, 2H). LCMS (ESI) m/z: [M+H] + = 835.45. Example 10-SYO1 BRD9 NanoLuc degradation analysis

此實例在基於細胞之降解分析中證明本揭示案之化合物降解Nanoluciferase-BRD9融合蛋白之能力。This example demonstrates the ability of the compound of the present disclosure to degrade Nanoluciferase-BRD9 fusion protein in a cell-based degradation analysis.

程序: 產生表現3xFLAG-NLuc-BRD9之穩定SYO-1細胞株。在第0天,將細胞接種于384孔細胞培養盤之各孔中之30 μL培養基中。接種密度為8000個細胞/孔。在第1天,將細胞用30 nL DMSO或30 nL 3倍連續DMSO稀釋之化合物處理(10個點,一式兩份,1 μM為最終最高劑量)。隨後將培育盤在標準組織培養培育器中培育6小時且在室溫下平衡15分鐘。藉由添加15 μL新鮮製備之Nano-Glo螢光素酶分析試劑(Promega N1130),震盪培育盤10分鐘且使用EnVision讀數器讀取生物發光來量測Nanoluciferase活性。 Procedure: Generate a stable SYO-1 cell line expressing 3xFLAG-NLuc-BRD9. On day 0, the cells were seeded in 30 μL of medium in each well of a 384-well cell culture plate. The seeding density is 8000 cells/well. On day 1, the cells were treated with 30 nL DMSO or 30 nL of the compound diluted 3 times in DMSO (10 points in duplicate, 1 μM as the final highest dose). The incubation plate was then incubated in a standard tissue culture incubator for 6 hours and equilibrated at room temperature for 15 minutes. The Nanoluciferase activity was measured by adding 15 μL of freshly prepared Nano-Glo Luciferase Assay Reagent (Promega N1130), shaking the incubation plate for 10 minutes and reading the bioluminescence using an EnVision reader.

結果 :使用下式計算抑制%:抑制% = 100 × (LumHC – Lum樣品 ) / (LumHC –LumLC )。經DMSO處理之細胞用作高對照物(HC)且1 μM已知之BRD9降解劑標準處理之細胞用作低對照物(LC)。資料擬合成四參數非線性曲線擬合,以計算IC50 (μM)值,如表2所示。如表2中之結果所示,許多本揭示案之化合物展現降解BRD9之IC50 值< 1 μM,此表明其用作降低BRD9之水準及/或活性之化合物及其治療BRD9相關病症之潛能。 表2. SYO1 BRD9-NanoLuc降解 化合物編號 SYO1 BRD9-NanoLuc 降解 IC 50 (nM) D1 0.13 D2 0.18 實例 11- BRD9 之降解抑制滑膜肉瘤腫瘤在活體內之生長 Result : Use the following formula to calculate the% inhibition:% inhibition = 100 × (Lum HC -Lum sample ) / (Lum HC- Lum LC ). Cells treated with DMSO were used as high control (HC) and cells treated with 1 μM of a known BRD9 degrading agent standard were used as low control (LC). The data was fitted into a four-parameter nonlinear curve fitting to calculate the IC 50 (μM) value, as shown in Table 2. As shown in the results of Table 2, a number of compounds of the present disclosure exhibit degradation BRD9 50 values of IC <1 μM, indicating that this level is used as the reducing BRD9 and / or activity of their potential for the treatment of disorders related to the BRD9. Table 2. SYO1 BRD9-NanoLuc degradation Compound number SYO1 BRD9-NanoLuc degradation IC 50 (nM) D1 0.13 D2 0.18 Example 11-BRD9 degradation inhibits synovial sarcoma tumor growth in vivo

方法: 將NOD SCID小鼠(Beijing Anikeeper Biotech, Beijing)在右側腰窩中皮下接種SYO-1人類雙相滑膜肉瘤腫瘤細胞(5×106)於100 μL具有10%胎牛血清(FBS)之達爾伯克改良伊格爾培養基(Dulbecco's Modified Eagle Medium,DMEM)中的單細胞懸浮液。當平均腫瘤尺寸達到約117 mm3 時,將小鼠隨機化至對照組[10%二甲亞碸(DMSO)、40%聚乙二醇(PEG400)及50%水]或處理組D1。每日經由腹膜內(i.p.)途徑在3週過程中向小鼠給藥。所有劑量體積均根據mg/kg隨體重而調整。 Method: NOD SCID mice (Beijing Anikeeper Biotech, Beijing) were subcutaneously inoculated into the right waist fossa with SYO-1 human biphasic synovial sarcoma tumor cells (5×106) in 100 μL with 10% fetal bovine serum (FBS) Single cell suspension in Dulbecco's Modified Eagle Medium (DMEM). When the average tumor size reached about 117 mm 3 , the mice were randomized to the control group [10% dimethyl sulfoxide (DMSO), 40% polyethylene glycol (PEG400) and 50% water] or treatment group D1. The mice were dosed daily via the intraperitoneal (ip) route over the course of 3 weeks. All dose volumes are adjusted according to mg/kg with body weight.

結果: 如圖14所示,用1 mg/kg化合物D1處理引起腫瘤生長抑制。基於觀測到之體重變化%,所有處理均耐受性良好。實例 12- 化合物 D1 引起 BRD9 在活體內在滑膜肉瘤腫瘤中之降解 Results: As shown in Figure 14, treatment with 1 mg/kg compound D1 caused tumor growth inhibition. Based on the observed weight change %, all treatments were well tolerated. Example 12- Compound D1 causes BRD9 degradation in synovial sarcoma tumors in vivo

方法: 將小鼠用1 mg/kg D1 i.p.處理4週。然後對小鼠施以安樂死,且在最後一劑後8小時、72小時及168小時收集腫瘤。用具有蛋白酶及磷酸酶蛋白質抑制劑(Roche Applied Science # 04906837001及05892791001)之1x RIPA溶解緩衝液(Boston BioProducts,BP-115D)使腫瘤溶解。將同等量之溶解產物(30 μg)裝載於1X MOPS緩衝液中之4-12% Bis-Tris Midi蛋白質凝膠中;樣品在120 V下跑動120分鐘。在250 mA下將蛋白質轉移至具有TransBlot之膜,歷時150分鐘,且接著在室溫下用Odyssey阻斷緩衝液阻斷膜1小時。膜在冷室中與一級抗體雜交隔夜。使用Li-COR成像系統(Li-COR Biotechnology, Lincoln, Nebraska)獲得圖像。 Method: The mice were treated with 1 mg/kg D1 ip for 4 weeks. The mice were then euthanized, and tumors were collected at 8 hours, 72 hours, and 168 hours after the last dose. Tumors were lysed with 1x RIPA lysis buffer (Boston BioProducts, BP-115D) with protease and phosphatase protein inhibitors (Roche Applied Science # 04906837001 and 05892791001). The same amount of lysate (30 μg) was loaded into a 4-12% Bis-Tris Midi protein gel in 1X MOPS buffer; the sample was run at 120 V for 120 minutes. The protein was transferred to a membrane with TransBlot at 250 mA for 150 minutes, and then the membrane was blocked with Odyssey blocking buffer for 1 hour at room temperature. The membrane was hybridized with the primary antibody in the cold room overnight. Images were acquired using Li-COR imaging system (Li-COR Biotechnology, Lincoln, Nebraska).

表3展示偵測抗體資訊。 表3 抗體 供應商 目錄號 物種 稀釋 BRD9 Bethyl, (Montgomery, TX) A303-781A 1:1000 GAPDH CST, (Danvers, MA) 97166 小鼠 1:2000 Table 3 shows the detection antibody information. table 3 antibody supplier Catalog number Species dilution BRD9 Bethyl, (Montgomery, TX) A303-781A rabbit 1:1000 GAPDH CST, (Danvers, MA) 97166 Mouse 1:2000

結果 :如圖15所示,用1 mg/kg化合物D1處理引起BRD9標靶完全降解,直至在給藥之後168小時。實例 13- 化合物 S-D1 R-D1 對滑膜肉瘤細胞之作用 Results : As shown in Figure 15, treatment with 1 mg/kg of compound D1 caused complete degradation of the BRD9 target until 168 hours after administration. Example 13 -Effect of Compound S-D1 and R-D1 on Synovial Sarcoma Cells

方法 . 將滑膜肉瘤細胞以500-100k個細胞/孔塗鋪于6孔盤中且次日兩個時間點在37℃下用連續濃度之BRD9降解劑(10 nM最高濃度,1:3稀釋)處理。然後收穫細胞,用冷PBS洗滌,且在-80℃下冷凍成細胞團粒。藉由使經解凍之團塊再懸浮於1x RIPA溶解及提取緩衝液(Thermo Fisher,目錄號89900)中來製備溶解產物,該緩衝液具有無EDTA之1x Halt™蛋白酶及磷酸酶抑制劑混合物(Thermo Fisher,目錄號78441)及1:1000稀釋之Pierce™細胞溶解通用核酸酶25ku (Thermo Fisher,目錄號88700)。將溶解產物在冰上培育10分鐘,且接著在4℃下以最大速度(15,000 rpm)離心10分鐘。然後使用BCA蛋白質定量分析,對樣品之總蛋白進行分析,且用溶解緩衝液及1x NuPAGE™ LDS樣品緩衝液(4X) (Thermo Fisher,目錄號NP0007)及來自30X原液之1x DTT (Cell Signaling Technologies,目錄號14265S)稀釋至1 μg/μL。將具有20-25 ug總蛋白之樣品裝載至具有1x MES操作緩衝液之4-12% Bis-Tris Mini-Gel中且在150V下跑動45分鐘。使用Trans-Blot® Turbo™轉移系統(半乾)在25V下10分鐘(高MW設置)將凝膠轉移在硝化纖維素墨點上。將墨點在含5%乳之TBST中阻斷1小時且用BRD9抗體(SYO1,Bethyl Labs,目錄號A303-781A,1:750;及ASKA,Cell Signaling Technologies,目錄號71232S)及β-肌動蛋白抗體(Cell Signaling Technologies,目錄號3700,1:2000)在4℃下探測隔夜。次日,將墨點在TBST中洗滌3次且在室溫下在LiCOR Odyssey®阻斷緩衝液(TBS)中用1:5000 IRDye® 680LT山羊抗兔IgG二級抗體(LiCOR,目錄號926-68021)及1:10000 IRDye® 800CW山羊抗小鼠IgG二級抗體(LiCOR,目錄號926-32210)探測1小時。將墨點在TBST中洗滌3次且使用LiCOR Odyssey® CLx成像系統在700 nM及800 nM波長下掃描。使用同一機器中包括之同一分析程式定量西方墨點信號。藉由相對於β-肌動蛋白信號正規化來定量BRD9信號傳導,且所有樣品均相對於設為100%信號之DMSO正規化。 Method . Spread the synovial sarcoma cells in a 6-well plate at 500-100k cells/well and use continuous concentrations of BRD9 degradation agent (10 nM maximum concentration, 1:3 dilution) at 37°C at two time points the next day )deal with. The cells were then harvested, washed with cold PBS, and frozen into cell pellets at -80°C. The lysate was prepared by resuspending the thawed agglomerates in 1x RIPA dissolution and extraction buffer (Thermo Fisher, catalog number 89900), which had an EDTA-free 1x Halt™ protease and phosphatase inhibitor cocktail ( Thermo Fisher, catalog number 78441) and Pierce™ cytolysis universal nuclease 25ku (Thermo Fisher, catalog number 88700) diluted 1:1000. The lysate was incubated on ice for 10 minutes, and then centrifuged at maximum speed (15,000 rpm) for 10 minutes at 4°C. Then use BCA protein quantitative analysis to analyze the total protein of the sample, and use lysis buffer and 1x NuPAGE™ LDS sample buffer (4X) (Thermo Fisher, catalog number NP0007) and 1x DTT (Cell Signaling Technologies) from 30X stock solution , Catalog number 14265S) diluted to 1 μg/μL. Load the sample with 20-25 ug total protein into 4-12% Bis-Tris Mini-Gel with 1x MES operating buffer and run at 150V for 45 minutes. Use the Trans-Blot® Turbo™ transfer system (semi-dry) to transfer the gel to the nitrocellulose ink spot at 25V for 10 minutes (high MW setting). The ink spots were blocked in TBST containing 5% milk for 1 hour and BRD9 antibody (SYO1, Bethyl Labs, catalog number A303-781A, 1:750; and ASKA, Cell Signaling Technologies, catalog number 71232S) and β-muscle were used The kinesin antibody (Cell Signaling Technologies, catalog number 3700, 1:2000) was probed at 4°C overnight. The next day, the ink dots were washed 3 times in TBST and 1:5000 IRDye® 680LT goat anti-rabbit IgG secondary antibody (LiCOR, catalog number 926- 68021) and 1:10000 IRDye® 800CW goat anti-mouse IgG secondary antibody (LiCOR, catalog number 926-32210) for 1 hour. The ink dots were washed 3 times in TBST and scanned with a LiCOR Odyssey® CLx imaging system at 700 nM and 800 nM wavelengths. Use the same analysis program included in the same machine to quantify Western ink dot signals. BRD9 signaling was quantified by normalization relative to β-actin signal, and all samples were normalized relative to DMSO set to 100% signal.

為評定細胞培養基中對映異構物1與對映異構物2之間的相互轉化,執行以下測試。將對映異構物1及對映異構物2 (各為DMSO中40 μM)以0.2 μM之最終濃度外加至細胞培養基(DMEM + Glutamax + 10% FBS)中且在37℃及5% CO2 下一式兩份培育。在指定時間點,獲取等分試樣(50 μL)且藉由添加150 μL含有0.1%甲酸之乙腈及內標準品來處理,以進行LC/MS-MS分析。使用對掌性特定分析法測定各樣品之對映異構物1及對映異構物2之峰面積。結果概述於下5表中。To assess the interconversion between enantiomer 1 and enantiomer 2 in the cell culture medium, the following test was performed. Add enantiomer 1 and enantiomer 2 (each 40 μM in DMSO) to the cell culture medium (DMEM + Glutamax + 10% FBS) at a final concentration of 0.2 μM and keep at 37°C and 5% CO 2 Incubate in duplicate in one format. At the designated time point, an aliquot (50 μL) was obtained and processed by adding 150 μL of acetonitrile containing 0.1% formic acid and an internal standard for LC/MS-MS analysis. The peak area of enantiomer 1 and enantiomer 2 of each sample was determined using the specific analysis method of the palm. The results are summarized in the following 5 tables.

結果 . 為評估兩種對映異構物之BRD9降解活性,使用兩種滑膜肉瘤細胞株(SYO-1及ASKA)進行降解劑處理及後續西方墨點實驗。在對映異構物2下觀測到顯著更有效之BRD9降解活性,其中與對映異構物1在SYO-1中處理1小時時間下的2.8 nM相比,經擬合之DC50 值為0.092 nM (圖16、17及18及表4)。對於對映異構物2,在30分鐘時,ASKA細胞之更顯著差異明顯,DC50 為0.34 nM,但對於對映異構物1,在相同時間點,直至10 μM,活性不可辯別(圖20、21及22及表4)。在ASKA中在2小時差異減少至約32倍,其中對映異構物1及對映異構物2之經擬合之DC50 值分別為0.38 nM及0.012 nM (表4)。在SYO1中。至6小時,差異進一步減少至大約3倍。在降解BRD9上,對映異構物2稍微比其外消旋母體化合物D1更佳,但在相同研究條件下總體相當(圖16及17)。對於所有三種化合物,在24小時,BRD9降解活性變得高度相似(圖19)。總之,在兩種滑膜肉瘤細胞株中在早期時間點,對映異構物2降解內源BRD9蛋白質更有效,而對映異構物1基本上無活性或具有大量降低之降解效力。然而,效力差異隨著時間推移而減小且至24小時基本上消失。 表4. 細胞株 經擬合之DC50 (nM) 對映異構物1 對映異構物2 ASKA 0.5小時 >10 0.34 SYO-1 1小時 2.8 0.092 ASKA 2小時 0.38 0.012 SYO-1 6小時 0.066 0.023 Results . To evaluate the BRD9 degradation activity of the two enantiomers, two synovial sarcoma cell lines (SYO-1 and ASKA) were used for degradation agent treatment and subsequent Western blotting experiments. Significantly more effective BRD9 degradation activity was observed under enantiomer 2, wherein compared with 2.8 nM of enantiomer 1 in SYO-1 for 1 hour, the fitted DC 50 value 0.092 nM (Figures 16, 17 and 18 and Table 4). For enantiomer 2, at 30 minutes, ASKA cells have a more significant difference with a DC 50 of 0.34 nM, but for enantiomer 1, at the same time point, up to 10 μM, the activity is indistinguishable ( Figures 20, 21 and 22 and Table 4). In ASKA, the difference was reduced to about 32-fold at 2 hours, where the fitted DC 50 values of enantiomer 1 and enantiomer 2 were 0.38 nM and 0.012 nM, respectively (Table 4). In SYO1. By 6 hours, the difference was further reduced to approximately 3 times. In the degradation of BRD9, enantiomer 2 is slightly better than its racemic parent compound D1, but is generally equivalent under the same research conditions (Figures 16 and 17). For all three compounds, the BRD9 degradation activity became highly similar at 24 hours (Figure 19). In conclusion, in the two synovial sarcoma cell lines, enantiomer 2 was more effective at degrading endogenous BRD9 protein, while enantiomer 1 was basically inactive or had a greatly reduced degradation efficiency. However, the difference in efficacy decreased over time and basically disappeared by 24 hours. Table 4. Cell line Fitted DC 50 (nM) Enantiomer 1 Enantiomer 2 ASKA 0.5 hour >10 0.34 SYO-1 1 hour 2.8 0.092 ASKA 2 hours 0.38 0.012 SYO-1 6 hours 0.066 0.023

報導沙利度胺或其他IMiD藥物及其衍生物中對掌性中心之差向異構作用。在物理或中性pH條件下對掌性中心中之酸性氫可能擾亂。為研究在此等降解劑之細胞分析條件下的對掌性穩定性,在細胞培養基中在37℃下執行對映異構物1及對映異構物2之時程研究。在時間0或0.5小時,在對映異構物1樣品中未偵測到對映異構物2。但在隨後時間點,偵測到大量對映異構物2,在2小時及6小時分別佔總數12%及30% (表5)。類似地,對映異構物2隨著時間推移轉化成對映異構物1,且在6小時,其有效濃度降低至63% (表5)。此等資料指示在細胞分析條件下差向異構速率相對較快,且表明對映異構物1之時間依賴性BRD9降解活性可能由轉化之對映異構物2引起。總體上,此等資料指示對映異構物2為降解細胞中之BRD9的活性對映異構物。 表5. 時間(小時) 對映異構物1給藥 對映異構物2給藥 對映異構物2之平均峰面積比相比於對映異構物1峰面積比 對映異構物2 % 對映異構物1之平均峰面積比相比於對映異構物2峰面積比 對映異構物2 % 0 0.0 0.0 0.01 99 0.5 0.0 0.0 0.06 95 2 0.13 12 0.22 82 6 0.43 30 0.60 63 實例 14- 化合物 S-D1 R-D1 對滑膜肉瘤細胞之作用 Report the epimerization of the palmar center in thalidomide or other IMiD drugs and their derivatives. Under physical or neutral pH conditions, the acidic hydrogen in the palmar center may be disturbed. In order to study the relative stability under the cell analysis conditions of these degradants, a time course study of enantiomer 1 and enantiomer 2 was performed in the cell culture medium at 37°C. At time 0 or 0.5 hours, Enantiomer 2 was not detected in the Enantiomer 1 sample. However, at subsequent time points, a large amount of enantiomer 2 was detected, accounting for 12% and 30% of the total at 2 hours and 6 hours respectively (Table 5). Similarly, enantiomer 2 was converted to enantiomer 1 over time, and at 6 hours, its effective concentration was reduced to 63% (Table 5). These data indicate that the rate of epimerization is relatively fast under cell analysis conditions, and that the time-dependent BRD9 degradation activity of enantiomer 1 may be caused by the converted enantiomer 2. In general, these data indicate that Enantiomer 2 is the active enantiomer that degrades BRD9 in cells. table 5. Time (hour) Enantiomer 1 administration Enantiomer 2 administration The average peak area ratio of enantiomer 2 compared to the peak area ratio of enantiomer 1 Enantiomers 2% The average peak area ratio of enantiomer 1 compared to the peak area ratio of enantiomer 2 Enantiomers 2% 0 0.0 0.0 0.01 99 0.5 0.0 0.0 0.06 95 2 0.13 12 0.22 82 6 0.43 30 0.60 63 Example 14 -Effect of Compound S-D1 and R-D1 on Synovial Sarcoma Cells

方法 . SYO-1腫瘤細胞在活體外呈黏附細胞維持在補充有10%胎牛血清之達爾伯克改良之伊格爾培養基(DMEM)中37℃下含5% CO2之空氣的氛圍中。收穫在指數生長期生長之細胞且計數,以用於腫瘤接種。將BALB/c裸小鼠(Shanghai Lingchang biological science)在右側腰窩上皮下接種于0.1 mL磷酸鹽緩衝鹽水(PBS)中(5×106 )。當平均腫瘤尺寸達到499 mm3 時,在腫瘤接種之後第19天開始處理(下表中所述)。 處理資訊: 抗體 小鼠數目 媒劑對照物,磺丁基醚-β-環糊精(SBECD),單劑量,10 ul/g 3 外消旋D1,0.5 mg/kg i.v.,單劑量,10 ul/g (20%SBECD) 12 對映異構物1,0.25 mg/kg i.v.,單劑量,10 ul/g (20%SBECD) 18 對映異構物2,0.25 mg/kg i.v.,單劑量,10 ul/g (20%SBECD) 18 對映異構物2,1 mg/kg i.v.,單劑量,10 ul/g (20%SBECD) 18 Method . SYO-1 tumor cells were adherent cells in vitro and maintained in an atmosphere of air containing 5% CO2 at 37°C in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum. The cells grown in the exponential growth phase were harvested and counted for tumor inoculation. BALB/c nude mice (Shanghai Lingchang biological science) were subcutaneously inoculated into 0.1 mL of phosphate buffered saline (PBS) (5×10 6 ) in the right lumbar fossa. When the average tumor size reached 499 mm 3 , treatment was started on the 19th day after tumor inoculation (described in the table below). Processing information: antibody Number of mice Vehicle control, sulfobutyl ether-β-cyclodextrin (SBECD), single dose, 10 ul/g 3 Racemic D1, 0.5 mg/kg iv, single dose, 10 ul/g (20%SBECD) 12 Enantiomer 1, 0.25 mg/kg iv, single dose, 10 ul/g (20%SBECD) 18 Enantiomer 2, 0.25 mg/kg iv, single dose, 10 ul/g (20%SBECD) 18 Enantiomer 2, 1 mg/kg iv, single dose, 10 ul/g (20%SBECD) 18

將小鼠用1 mg/kg外消旋D1 i.p.處理4週,對小鼠施以安樂死,且在最後一劑後1小時、4小時、8小時、24小時、48小時及72小時收集腫瘤。用具有蛋白酶及磷酸酶蛋白質抑制劑(Roche Applied Science # 04906837001及05892791001)之1x RIPA溶解緩衝液(Boston BioProducts,BP-115D)使腫瘤溶解。將同等量之溶解產物(30 μg)裝載於1X MOPS緩衝液中之4-12% Bis-Tris Midi蛋白質凝膠中;樣品在120 V下跑動120分鐘。在250 mA下將蛋白質轉移至具有TransBlot之膜(NC),歷時150分鐘,接著在室溫下用Odyssey阻斷緩衝液阻斷膜1小時。膜在冷室中與一級抗體雜交隔夜。使用Li-COR成像系統(Li-COR Biotechnology, Lincoln, Nebraska)獲得圖像 偵測抗體資訊: 抗體 供應商 目錄號 物種 稀釋 BRD9 Bethyl, (Montgomery, TX) A303-781A 1:1000 GAPDH CST, (Danvers, MA) 97166 小鼠 1:2000 Mice were treated with 1 mg/kg racemic D1 ip for 4 weeks, the mice were euthanized, and tumors were collected 1 hour, 4 hours, 8 hours, 24 hours, 48 hours, and 72 hours after the last dose. Tumors were lysed with 1x RIPA lysis buffer (Boston BioProducts, BP-115D) with protease and phosphatase protein inhibitors (Roche Applied Science # 04906837001 and 05892791001). The same amount of lysate (30 μg) was loaded into a 4-12% Bis-Tris Midi protein gel in 1X MOPS buffer; the sample was run at 120 V for 120 minutes. The protein was transferred to a membrane with TransBlot (NC) at 250 mA for 150 minutes, and then the membrane was blocked with Odyssey blocking buffer for 1 hour at room temperature. The membrane was hybridized with the primary antibody in the cold room overnight. Use Li-COR imaging system (Li-COR Biotechnology, Lincoln, Nebraska) to obtain image detection antibody information: antibody supplier Catalog number Species dilution BRD9 Bethyl, (Montgomery, TX) A303-781A rabbit 1:1000 GAPDH CST, (Danvers, MA) 97166 Mouse 1:2000

結果 . 在SYO-1異種移植模型中評估對映異構物1、對映異構物2及外消旋化合物D1之藥效活性。對映異構物2證明顯著活性,藉由BRD9蛋白質水準使用西方墨點分析評定,圖23。對映異構物2在單一劑量之後直至72小時均降解BRD9。對映異構物1無活性,且不降解BRD9蛋白質。此等結果表明對映異構物2與外消旋化合物D1同等效力。其他實施例 Results . The pharmacodynamic activity of enantiomer 1, enantiomer 2 and racemic compound D1 was evaluated in the SYO-1 xenograft model. Enantiomer 2 demonstrated significant activity, as assessed by the BRD9 protein level using Western blot analysis, Figure 23. Enantiomer 2 degraded BRD9 up to 72 hours after a single dose. Enantiomer 1 is inactive and does not degrade BRD9 protein. These results indicate that Enantiomer 2 is as effective as racemic compound D1. Other embodiments

本說明書中所提及之所有公開案、專利及專利申請案均以引用之方式整體併入本文中,其引用程度如同特別且個別地指示每篇個別公開案、專利或專利申請案以引用之方式整體併入一般。在發現本申請案中之術語在以引用之方式併入本文中之文獻中不同地定義的情況下,本文提供之定義將充當該術語之定義。All publications, patents, and patent applications mentioned in this specification are incorporated herein by reference in their entirety. The degree of citation is as if specifically and individually instructed each individual publication, patent or patent application to be cited. The way is integrated into the general. Where it is found that the terms in this application are defined differently in the documents incorporated herein by reference, the definitions provided herein will serve as the definitions of the terms.

在本發明已結合其特定實施例來描述的情況下,應瞭解本發明能夠進行進一步修改且本申請案意欲涵蓋本發明之任何變體、用途或改變,該等變體、用途或改變一般遵循本發明之原理且包括在本發明所屬領域內之已知或慣常實踐內的自本揭示案之偏離,且可應用於以上闡述之基本特徵,且遵循在申請專利範圍之範疇內。Under the circumstance that the present invention has been described in conjunction with its specific embodiments, it should be understood that the present invention can be further modified and this application is intended to cover any variants, uses or changes of the present invention, and such variants, uses or changes generally follow The principle of the present invention includes deviations from the present disclosure that are known or customary in the field to which the present invention belongs, and can be applied to the basic features set forth above, and are within the scope of the patent application.

其他實施例在申請專利範圍內。Other embodiments are within the scope of patent application.

圖1為示出滑膜肉瘤細胞株(SYO1)中在BRD9降解劑存在下BRD9水準之劑量依賴性耗盡的圖像。 圖2為示出滑膜肉瘤細胞株(SYO1)中在BRD9降解劑存在下在72小時內BRD9水準之持續抑制的圖像。 圖3為示出兩種細胞株(293T及SYO1)中在BRD9降解劑存在下在5天內BRD9水準之持續抑制的圖像。 圖4為示出與用CRISPR試劑治療之細胞中的水準相比,在滑膜肉瘤細胞株(SYO1及Yamato)中在BRD9降解劑存在下在7天內BRD9水準之持續抑制的圖像。 圖5為示出在BRD9降解劑及BRD9抑制劑存在下對六種細胞株(SYO1、Yamato、A549、HS-SY-II、ASKA及293T)之細胞生長之作用的圖像。 圖6為示出在BRD9降解劑存在下對兩種細胞株(SYO1及G401)之細胞生長之作用的圖像。 圖7為示出在BRD9降解劑、BRD9結合劑及E3連接酶結合劑存在下對三種滑膜肉瘤細胞株(SYO1、HS-SY-II及ASKA)之細胞生長之作用的圖像。 圖8為示出在BRD9降解劑、BRD9結合劑及E3連接酶結合劑存在下對三種非滑膜肉瘤細胞株(RD、HCT116及Calu6)之細胞生長之作用的圖像。 圖9為示出在用DMSO、200 nM化合物1或1 μM化合物1處理8或13天之後多個細胞週期階段中SYO1之百分比的圖。 圖10為示出在用DMSO、200 nM化合物1、1 μM化合物1或200 nM來那度胺(lenalidomide)處理8天之後多個細胞週期階段中SYO1細胞之百分比的一系列等高線圖。與各等高線圖相對應之數值見於以下表中。 圖11為示出在用DMSO、200 nM化合物1、1 μM化合物1或200 nM來那度胺處理13天之後多個細胞週期階段中SYO1細胞之百分比的一系列等高線圖。與各等高線圖相對應之數值見於以下表中。 圖12為示出在用DMSO、200 nM化合物1、1 μM化合物1或200 nM來那度胺處理8天之後早期及晚期細胞凋亡SYO1細胞之百分比的一系列等高線圖。與各等高線圖相對應之數值見於以下表中。 圖13為示出包括SS18-SSX融合蛋白之BAF複合物中存在之蛋白質的圖。 圖14為展示在SOY-1異種移植小鼠模型中化合物D1之功效的圖。用化合物D1處理引起腫瘤生長抑制。 圖15為展示對照組及處理組(化合物D1)中之BRD9偵測之西方墨點法的圖像。用化合物D1處理引起BRD9抑制。 圖16為展示在用DMSO、對映異構物1或外消旋化合物D1處理1小時或6小時之SYO-1細胞中之BRD9偵測的西方墨點法之圖像。 圖17為展示在用DMSO、對映異構物2或外消旋化合物D1處理1小時或6小時之SYO-1細胞中之BRD9偵測的西方墨點法之圖像。 圖18為展示與來自圖16及17中所示之西方墨點法圖像之BRD9亮帶強度資料點擬合的劑量反應曲線的圖。 圖19為展示在用對映異構物1、對映異構物2或外消旋化合物D1處理24小時之SYO-1細胞中之BRD9偵測的西方墨點法之圖像。 圖20為展示在ASKA細胞對照物及用對映異構物1或外消旋化合物D1處理0.5小時或2小時之ASKA細胞中之BRD9偵測的西方墨點法之圖像。 圖21為展示在ASKA細胞對照物及用對映異構物2或外消旋化合物D1處理0.5小時或2小時之ASKA細胞中之BRD9偵測的西方墨點法之圖像。 圖22為展示與來自圖20及21中所示之西方墨點法圖像之BRD9亮帶強度資料點擬合的劑量反應曲線的圖。 圖23為展示在用對映異構物1、對映異構物2或外消旋化合物D1處理之SYO-1 Zenograft模型中之BRD9偵測的一系列西方墨點法之圖像。 圖24為定量在圖23中所示之西方墨點法中觀測到之BRD9水準變化的橫條圖。Figure 1 is an image showing the dose-dependent depletion of BRD9 levels in a synovial sarcoma cell line (SYO1) in the presence of a BRD9 degrading agent. Figure 2 is an image showing the continuous inhibition of BRD9 levels in the synovial sarcoma cell line (SYO1) in the presence of a BRD9 degrading agent within 72 hours. Figure 3 is an image showing the continuous inhibition of BRD9 levels in the presence of a BRD9 degrading agent in two cell lines (293T and SYO1) within 5 days. Figure 4 is an image showing the continuous inhibition of BRD9 levels in synovial sarcoma cell lines (SYO1 and Yamato) in the presence of BRD9 degrading agents for 7 days compared with the levels in cells treated with CRISPR reagents. Fig. 5 is an image showing the effect on cell growth of six cell lines (SYO1, Yamato, A549, HS-SY-II, ASKA and 293T) in the presence of a BRD9 degrading agent and a BRD9 inhibitor. Figure 6 is an image showing the effect of the BRD9 degrading agent on the cell growth of two cell lines (SYO1 and G401). Fig. 7 is an image showing the effect on cell growth of three synovial sarcoma cell lines (SYO1, HS-SY-II and ASKA) in the presence of BRD9 degrading agent, BRD9 binding agent and E3 ligase binding agent. Fig. 8 is an image showing the effect on cell growth of three non-synovial sarcoma cell lines (RD, HCT116 and Calu6) in the presence of BRD9 degrading agent, BRD9 binding agent and E3 ligase binding agent. Figure 9 is a graph showing the percentage of SYO1 in multiple cell cycle stages after treatment with DMSO, 200 nM compound 1 or 1 μM compound 1 for 8 or 13 days. Figure 10 is a series of contour plots showing the percentage of SYO1 cells in multiple cell cycle stages after treatment with DMSO, 200 nM Compound 1, 1 μM Compound 1, or 200 nM lenalidomide for 8 days. The values corresponding to each contour map are shown in the table below. Figure 11 is a series of contour plots showing the percentage of SYO1 cells in various cell cycle stages after treatment with DMSO, 200 nM Compound 1, 1 μM Compound 1, or 200 nM Lenalidomide for 13 days. The values corresponding to each contour map are shown in the table below. Figure 12 is a series of contour plots showing the percentage of early and late apoptotic SYO1 cells after 8 days of treatment with DMSO, 200 nM Compound 1, 1 μM Compound 1, or 200 nM Lenalidomide. The values corresponding to each contour map are shown in the table below. Figure 13 is a diagram showing the proteins present in the BAF complex including the SS18-SSX fusion protein. Figure 14 is a graph showing the efficacy of Compound D1 in a SOY-1 xenograft mouse model. Treatment with compound D1 caused tumor growth inhibition. Figure 15 is an image showing the Western blot method of BRD9 detection in the control group and the treatment group (Compound D1). Treatment with compound D1 caused BRD9 inhibition. Figure 16 is an image showing the detection of BRD9 in SYO-1 cells treated with DMSO, enantiomer 1 or racemic compound D1 for 1 hour or 6 hours by the Western blot method. Figure 17 is an image showing the detection of BRD9 in SYO-1 cells treated with DMSO, enantiomer 2 or racemic compound D1 for 1 hour or 6 hours by the Western blot method. FIG. 18 is a graph showing a dose response curve fitted to the BRD9 bright band intensity data points from the western blot image shown in FIGS. 16 and 17. Figure 19 is an image showing the detection of BRD9 in SYO-1 cells treated with enantiomer 1, enantiomer 2 or racemic compound D1 for 24 hours by the Western blot method. Figure 20 is an image showing the Western blot method of BRD9 detection in ASKA cell controls and ASKA cells treated with enantiomer 1 or racemic compound D1 for 0.5 hours or 2 hours. Figure 21 is an image showing the Western blot method of BRD9 detection in ASKA cell controls and ASKA cells treated with enantiomer 2 or racemic compound D1 for 0.5 hours or 2 hours. FIG. 22 is a graph showing a dose response curve fitted to the BRD9 bright band intensity data points from the western blot image shown in FIGS. 20 and 21. FIG. Figure 23 shows a series of images of the Western blot method detected by BRD9 in the SYO-1 Zenograft model treated with enantiomer 1, enantiomer 2 or racemic compound D1. Figure 24 is a bar graph quantifying the changes in the BRD9 level observed in the Western ink dot method shown in Figure 23.

Figure 110103460-A0101-11-0001-1
Figure 110103460-A0101-11-0001-1

Claims (31)

一種化合物,其具有以下結構:
Figure 03_image001
化合物 D1
Figure 03_image003
化合物 D2 或其醫藥學上可接受之鹽。
A compound having the following structure:
Figure 03_image001
Compound D1 , or
Figure 03_image003
Compound D2 , or a pharmaceutically acceptable salt thereof.
如請求項1之化合物,其中該化合物具有以下結構:
Figure 03_image001
化合物 D1 或其醫藥學上可接受之鹽。
The compound of claim 1, wherein the compound has the following structure:
Figure 03_image001
Compound D1 , or a pharmaceutically acceptable salt thereof.
如請求項1或2之化合物,其中該化合物具有以下結構:
Figure 03_image006
化合物 S-D1 或其醫藥學上可接受之鹽。
The compound of claim 1 or 2, wherein the compound has the following structure:
Figure 03_image006
Compound S-D1 , or a pharmaceutically acceptable salt thereof.
如請求項1或2之化合物,其中該化合物具有以下結構:
Figure 03_image008
化合物 R-D1 或其醫藥學上可接受之鹽。
The compound of claim 1 or 2, wherein the compound has the following structure:
Figure 03_image008
Compound R-D1 , or a pharmaceutically acceptable salt thereof.
一種醫藥組合物,其包含具有以下結構之化合物:
Figure 03_image001
化合物 D1
Figure 03_image003
化合物 D2 或其醫藥學上可接受之鹽及醫藥學上可接受之賦形劑。
A pharmaceutical composition comprising a compound having the following structure:
Figure 03_image001
Compound D1 , or
Figure 03_image003
Compound D2 , or its pharmaceutically acceptable salt and pharmaceutically acceptable excipients.
如請求項5之醫藥組合物,其中該醫藥組合物包含具有以下結構之化合物:
Figure 03_image001
化合物 D1 或其醫藥學上可接受之鹽及醫藥學上可接受之賦形劑。
The pharmaceutical composition of claim 5, wherein the pharmaceutical composition comprises a compound having the following structure:
Figure 03_image001
, Compound D1 or its pharmaceutically acceptable salt and pharmaceutically acceptable excipients.
如請求項6之醫藥組合物,其中該醫藥組合物包含具有以下結構之化合物:
Figure 03_image006
化合物 S-D1 或其醫藥學上可接受之鹽及醫藥學上可接受之賦形劑。
The pharmaceutical composition of claim 6, wherein the pharmaceutical composition comprises a compound having the following structure:
Figure 03_image006
, Compound S-D1 or its pharmaceutically acceptable salt and pharmaceutically acceptable excipients.
如請求項6之醫藥組合物,其中該醫藥組合物包含具有以下結構之化合物:
Figure 03_image008
化合物 R-D1 或其醫藥學上可接受之鹽及醫藥學上可接受之賦形劑。
The pharmaceutical composition of claim 6, wherein the pharmaceutical composition comprises a compound having the following structure:
Figure 03_image008
, Compound R-D1 or its pharmaceutically acceptable salt and pharmaceutically acceptable excipients.
一種抑制細胞中之BRD9水準之方法,該方法包括使該細胞與有效量之如請求項1至4中任一項之化合物或其醫藥學上可接受之鹽或如請求項5至8中任一項之醫藥組合物接觸。A method for inhibiting the level of BRD9 in a cell, the method comprising combining the cell with an effective amount of the compound of any one of claims 1 to 4 or a pharmaceutically acceptable salt thereof or any one of claims 5 to 8 One item of medical composition contact. 一種抑制細胞中之BRD9活性之方法,該方法包括使該細胞與有效量之如請求項1至4中任一項之化合物或其醫藥學上可接受之鹽或如請求項5至8中任一項之醫藥組合物接觸。A method for inhibiting the activity of BRD9 in a cell, the method comprising combining the cell with an effective amount of the compound of any one of claims 1 to 4 or a pharmaceutically acceptable salt thereof or any one of claims 5 to 8 One item of medical composition contact. 如請求項9或10之方法,其中該細胞為癌細胞。The method of claim 9 or 10, wherein the cell is a cancer cell. 如請求項10之方法,其中該癌症為惡性橫紋肌樣瘤、CD8+ T細胞淋巴瘤、子宮內膜癌、卵巢癌、膀胱癌、胃癌、胰臟癌、食道癌、前列腺癌、腎細胞癌、黑色素瘤、結腸直腸癌、肉瘤、非小細胞肺癌、胃癌或乳癌。The method of claim 10, wherein the cancer is malignant rhabdoid tumor, CD8+ T cell lymphoma, endometrial cancer, ovarian cancer, bladder cancer, gastric cancer, pancreatic cancer, esophageal cancer, prostate cancer, renal cell carcinoma, melanin Tumor, colorectal cancer, sarcoma, non-small cell lung cancer, gastric cancer or breast cancer. 如請求項12之方法,其中該癌症為肉瘤。The method of claim 12, wherein the cancer is a sarcoma. 如請求項13之方法,其中該肉瘤為軟組織肉瘤、滑膜肉瘤、尤因氏肉瘤(Ewing's sarcoma)、骨肉瘤、橫紋肌肉瘤、成人纖維肉瘤、腺泡狀軟組織肉瘤、血管肉瘤、透明細胞肉瘤、促纖維組織增生性小圓細胞腫瘤、上皮樣肉瘤、纖維黏液樣肉瘤、胃腸道基質瘤、卡波西氏肉瘤(Kaposi sarcoma)、脂肪肉瘤、平滑肌肉瘤、惡性間葉瘤惡性外周神經鞘腫瘤、黏液纖維肉瘤或低級別橫紋肌肉瘤。The method of claim 13, wherein the sarcoma is soft tissue sarcoma, synovial sarcoma, Ewing's sarcoma, osteosarcoma, rhabdomyosarcoma, adult fibrosarcoma, acinar soft tissue sarcoma, angiosarcoma, clear cell sarcoma, Pro-fibroproliferative small round cell tumor, epithelioid sarcoma, fibromyxoid sarcoma, gastrointestinal stromal tumor, Kaposi sarcoma (Kaposi sarcoma), liposarcoma, leiomyosarcoma, malignant mesenchymal tumor, malignant peripheral nerve sheath tumor, Myxofibrosarcoma or low-grade rhabdomyosarcoma. 如請求項14之方法,其中該肉瘤為滑膜肉瘤。The method of claim 14, wherein the sarcoma is synovial sarcoma. 如請求項14之方法,其中該肉瘤為橫紋肌肉瘤。The method of claim 14, wherein the sarcoma is rhabdomyosarcoma. 一種治療有需要之個體之BAF複合物相關病症的方法,該方法包括向該個體投與有效量之如請求項1至4中任一項之化合物或其醫藥學上可接受之鹽或如請求項5至8中任一項之醫藥組合物。A method for treating a BAF complex-related disorder in an individual in need, the method comprising administering to the individual an effective amount of a compound or a pharmaceutically acceptable salt thereof according to any one of claims 1 to 4 or as required The pharmaceutical composition of any one of items 5 to 8. 一種治療有需要之個體之SS18-SSX融合蛋白相關病症的方法,該方法包括向該個體投與有效量之如請求項1至4中任一項之化合物或其醫藥學上可接受之鹽或如請求項5至8中任一項之醫藥組合物。A method for treating an SS18-SSX fusion protein-related disorder in an individual in need thereof, the method comprising administering to the individual an effective amount of the compound of any one of claims 1 to 4 or a pharmaceutically acceptable salt thereof or The pharmaceutical composition according to any one of claims 5 to 8. 一種治療有需要之個體之BRD9相關病症的方法,該方法包括向該個體投與有效量之如請求項1至4中任一項之化合物或其醫藥學上可接受之鹽或如請求項5至8中任一項之醫藥組合物。A method for treating a BRD9-related disorder in an individual in need thereof, the method comprising administering to the individual an effective amount of a compound as claimed in any one of claims 1 to 4 or a pharmaceutically acceptable salt thereof or as claimed in claim 5 The pharmaceutical composition of any one of to 8. 如請求項17至19中任一項之方法,其中該病症為癌症。The method according to any one of claims 17 to 19, wherein the disorder is cancer. 一種治療有需要之個體之癌症的方法,該方法包括向該個體投與有效量之如請求項1至4中任一項之化合物或其醫藥學上可接受之鹽或如請求項5至8中任一項之醫藥組合物。A method for treating cancer in an individual in need, the method comprising administering to the individual an effective amount of a compound or a pharmaceutically acceptable salt thereof according to any one of claims 1 to 4 or as claimed in claims 5 to 8 Any one of the pharmaceutical compositions. 如請求項20或21之方法,其中該癌症為惡性橫紋肌樣瘤、CD8+ T細胞淋巴瘤、子宮內膜癌、卵巢癌、膀胱癌、胃癌、胰臟癌、食道癌、前列腺癌、腎細胞癌、黑色素瘤、結腸直腸癌、肉瘤、非小細胞肺癌、胃癌或乳癌。The method of claim 20 or 21, wherein the cancer is malignant rhabdoid tumor, CD8+ T cell lymphoma, endometrial cancer, ovarian cancer, bladder cancer, gastric cancer, pancreatic cancer, esophageal cancer, prostate cancer, renal cell carcinoma , Melanoma, colorectal cancer, sarcoma, non-small cell lung cancer, gastric cancer or breast cancer. 如請求項22之方法,其中該癌症為肉瘤。The method of claim 22, wherein the cancer is a sarcoma. 如請求項23之方法,其中該肉瘤為軟組織肉瘤、滑膜肉瘤、尤因氏肉瘤、骨肉瘤、橫紋肌肉瘤、成人纖維肉瘤、腺泡狀軟組織肉瘤、血管肉瘤、透明細胞肉瘤、促纖維組織增生性小圓細胞腫瘤、上皮樣肉瘤、纖維黏液樣肉瘤、胃腸道基質瘤、卡波西氏肉瘤、脂肪肉瘤、平滑肌肉瘤、惡性間葉瘤惡性外周神經鞘腫瘤、黏液纖維肉瘤或低級別橫紋肌肉瘤。The method of claim 23, wherein the sarcoma is soft tissue sarcoma, synovial sarcoma, Ewing's sarcoma, osteosarcoma, rhabdomyosarcoma, adult fibrosarcoma, acinar soft tissue sarcoma, angiosarcoma, clear cell sarcoma, and fibrotic tissue proliferation Small round cell tumor, epithelioid sarcoma, fibromyxoid sarcoma, gastrointestinal stromal tumor, Kaposi’s sarcoma, liposarcoma, leiomyosarcoma, malignant mesenchymal tumor, malignant peripheral nerve sheath tumor, myxofibrosarcoma, or low-grade rhabdomyosarcoma . 如請求項24之方法,其中該肉瘤為滑膜肉瘤。The method of claim 24, wherein the sarcoma is synovial sarcoma. 如請求項24之方法,其中該肉瘤為橫紋肌肉瘤。The method of claim 24, wherein the sarcoma is rhabdomyosarcoma. 如請求項17至19中任一項之方法,其中該病症為感染。The method according to any one of claims 17 to 19, wherein the disease is infection. 一種治療有需要之個體之感染的方法,該方法包括向該個體投與有效量之如請求項1至4中任一項之化合物或其醫藥學上可接受之鹽或如請求項5至8中任一項之醫藥組合物。A method for treating an infection in an individual in need, the method comprising administering to the individual an effective amount of a compound as claimed in any one of claims 1 to 4 or a pharmaceutically acceptable salt thereof or as claimed in claims 5 to 8 Any one of the pharmaceutical compositions. 如請求項27或28之方法,其中該感染為病毒感染。Such as the method of claim 27 or 28, wherein the infection is a virus infection. 如請求項29之方法,其中該病毒感染為反轉錄病毒科(Retroviridae)、肝去氧核糖核酸病毒科(Hepadnaviridae)、黃病毒科(Flaviviridae)、腺病毒科(Adenoviridae)、疱疹病毒科(Herpesviridae)、乳頭瘤病毒科(Papillomaviridae)、細小病毒科(Parvoviridae)、多瘤病毒科(Polyomaviridae)、副黏液病毒科(Paramyxoviridae)或披膜病毒科病毒(Togaviridae)之感染。Such as the method of claim 29, wherein the viral infection is Retroviridae, Hepadnaviridae, Flaviviridae, Adenoviridae, Herpesviridae ), Papillomaviridae, Parvoviridae, Polyomaviridae, Paramyxoviridae or Togaviridae. 如請求項29或30之方法,其中該病毒感染為科芬西裡斯病(Coffin Siris)、神經纖維瘤或多發性腦膜瘤。The method of claim 29 or 30, wherein the viral infection is Coffin Siris, neurofibromas or multiple meningioma.
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